Individual provider Active NPI

John Patrick Mekhail, LCSW-CDBT

  • Clinical Social Worker
  • Camp Hill, PA
National Provider Identifier
1073370490
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024413 Issued in PA
Practice address
251 E Crestwood Dr Apt C3
Camp Hill, PA 17011-1202
Phone
(541) 760-7111
NPI assigned
Mar 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW024413 PA Primary

Addresses

Primary practice location

251 E Crestwood Dr Apt C3
Camp Hill, PA 17011-1202

Mailing address

251 E Crestwood Dr Apt C3
Camp Hill, PA 17011-1202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260413003059 PA Order and Referring Only - Clinical Social Worker 2860830726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1073370490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E CRESTWOOD DR APT C3",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E CRESTWOOD DR APT C3",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111202",
            "telephone_number": "541-760-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKHAIL",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "LCSW-CDBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.