Active NPI
Kathleen J Washington
- Social Worker
- Mechanicsburg, PA
National Provider Identifier
1104653203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW139829
- Practice address
- 100 Winding Creek Blvd
Mechanicsburg, PA 17050-1883 - Phone
- (717) 590-7283
- NPI assigned
- Sep 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW139829 | PA | Primary |
Addresses
Primary practice location
100 Winding Creek Blvd
Mechanicsburg, PA 17050-1883
Mailing address
2040 Brooks Edge Dr Apt 107
Camp Hill, PA 17011-8047
Phone (570) 716-1907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW139829 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726272000000",
"number": "1104653203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 BROOKS EDGE DR APT 107",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170118047",
"telephone_number": "570-716-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WINDING CREEK BLVD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170501883",
"telephone_number": "717-590-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "KATHLEEN",
"middle_name": "J",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-14",
"last_updated": "2024-09-14",
"certification_date": "2024-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW139829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.