Individual provider Active NPI

Kelly Lynn Dahlkemper, LCSW

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1215791926
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024258 Issued in PA
Practice address
5100 Peach St
Erie, PA 16509-2482
Phone
(814) 866-4500
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 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 CW024258 PA Primary

Addresses

Primary practice location

5100 Peach St
Erie, PA 16509-2482

Mailing address

1860 E 34TH St
Erie, PA 16510-2606
Phone (814) 823-3049

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
I20241126000128 PA Practitioner - Clinical Social Worker 7517492747 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW024258PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Clinical CurrentSince Oct 21, 2024 Accepting new patients
Allegheny Clinic CurrentSince Oct 21, 2024 Accepting new patients
Allegheny Clinic Current Accepting new patients

Locations

4 Allegheny Ctr
Fl 8
Pittsburgh, PA 15212
Phone (412) 330-4242

Organizations & group practices 3

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1215791926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 E 34TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102606",
            "telephone_number": "814-823-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092482",
            "telephone_number": "814-866-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLKEMPER",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.