Sandra G. Herlitschek, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW002736-L Issued in PA

Practice address

2110 Sterners Rd
Green Lane, PA 18054-2550

Phone

(215) 453-1321

NPI assigned

Jan 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235100256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 STERNERS RD",
            "city": "GREEN LANE",
            "state": "PA",
            "postal_code": "180542550",
            "telephone_number": "215-453-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 STERNERS RD",
            "city": "GREEN LANE",
            "state": "PA",
            "postal_code": "180542550",
            "telephone_number": "215-453-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERLITSCHEK",
        "first_name": "SANDRA",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW002736-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Ambulance Service, Inc.
• Concern-Professional Services for Children, Youth & Families
• Bridget Delp, PT, DPT
• Liberty A Dusza, NBCRP
• Mary Kathleen Fisher-Aman, OTR/L
• Rebecca Seidel Herrmann, RD, LDN
• Bonnie B Kim, M.D.
• Lehigh Valley Mobility
• David M Marsh Jr., B.A.
• Christine Marie Mason

• Clinical Social Worker in Green Lane, PA
• Providers in Green Lane, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.