Individual provider Active NPI

Courtney Michelle Carney, LCSW

  • Clinical Social Worker
  • Camp Hill, PA
National Provider Identifier
1083376784
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025187 Issued in PA
Practice address
412 Erford Rd
Camp Hill, PA 17011-1117
Phone
(717) 305-2700
NPI assigned
Oct 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 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 CW025187 PA Primary

Addresses

Primary practice location

412 Erford Rd
Camp Hill, PA 17011-1117

Mailing address

412 Erford Rd
Camp Hill, PA 17011-1117
Phone (717) 305-2700

Other practice location 1

900 N 6th St
Harrisburg, PA 17102-1703
Phone (717) 233-4027

Other names 1

  • Courtney Michelle Underkoffler Former name

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
I20241031004482 PA Practitioner - Clinical Social Worker 4688107485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downtown Counseling Center LLCGroup PAC ID 6800167255, 7 clinicians

Practice addresses (Care Compare)

412 Erford Rd
Camp Hill, PA 17011-1117
Phone (717) 386-5971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Counseling Center LLC CurrentSince Aug 22, 2024 Accepting new patients

Locations

412 Erford Rd
Camp Hill, PA 17011
Phone (717) 386-5971

155 S Hanover St
Ofc
Carlisle, PA 17013
Phone (717) 386-5971

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1083376784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 ERFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111117",
            "telephone_number": "717-305-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 ERFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111117",
            "telephone_number": "717-305-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171021703",
            "country_code": "US",
            "telephone_number": "717-233-4027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "UNDERKOFFLER",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.