Individual provider Active NPI

Juan A Pineda, LCSW

  • Clinical Social Worker
  • Lancaster, PA
National Provider Identifier
1124456082
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017796 Issued in PA
Practice address
304 N Water St
Lancaster, PA 17603
Phone
(717) 299-6371
Fax
(717) 945-1587
NPI assigned
Oct 30, 2013
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 CW017796 PA Primary

Addresses

Primary practice location

304 N Water St
Lancaster, PA 17603

Mailing address

304 N Water St
Lancaster, PA 17603-3374
Phone (717) 299-6371

Other practice location 1

790 New Holland Ave
Lancaster, PA 17602-2137
Phone (717) 390-0353

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
I20140315000099 PA Practitioner - Clinical Social Worker 3779714704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Community CareGroup PAC ID 8123914322, 20 clinicians

Practice addresses (Care Compare)

625 S Duke St
Lancaster, PA 17602-4509
Phone (717) 299-6371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care Current Accepting new patients
Community Services Group, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Union Community Care CurrentSince Apr 1, 2016 Accepting new patients
Union Community Care CurrentSince Mar 1, 2021 Accepting new patients
Union Community Care CurrentSince Mar 1, 2021 Accepting new patients
Union Community Care CurrentSince Apr 1, 2016 Accepting new patients

Locations

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

790 New Holland Ave
Lancaster, PA 17602
Phone (717) 293-5104

320 Highland Dr
Mountville, PA 17554
Phone (717) 285-7121

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

1000 Commerce Park Dr
Ste 110
Williamsport, PA 17701
Phone (570) 323-6944

Interoperability endpoints

  • Direct secure messaging: alex.pineda.1@14261.direct.athenahealth.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1124456082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N WATER ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033374",
            "telephone_number": "717-299-6371",
            "fax_number": "717-945-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N WATER ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-299-6371",
            "fax_number": "717-945-1587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 New Holland Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176022137",
            "country_code": "US",
            "telephone_number": "717-390-0353",
            "fax_number": "717-390-1812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "JUAN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-30",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.