Individual provider Active NPI

Mary Katherine Braasch, LSW

  • Social Worker
  • Highspire, PA
National Provider Identifier
1235835802
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW139792 Issued in PA
Practice address
62 Charles St
Highspire, PA 17034-1023
Phone
(717) 500-1403
NPI assigned
Feb 6, 2023
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW139792 PA Primary

Addresses

Primary practice location

62 Charles St
Highspire, PA 17034-1023

Mailing address

100 N Cameron St Ste 201
Harrisburg, PA 17101-2424
Phone (717) 223-7190

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
I20250605003084 PA Practitioner - Clinical Social Worker 6709396120 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW139792PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nothing About US Without US Creative Arts Therapies LLC CurrentSince Apr 20, 2025 Accepting new patients
Alder Health Services, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Pennsylvania Counseling Services Inc. CurrentSince May 21, 2025 Accepting new patients
Pennsylvania Counseling Services Inc Past Accepting new patients

Locations

100 N Cameron St
Ste 201
Harrisburg, PA 17101
Phone (717) 614-8800

200 N 7th St
Lebanon, PA 17046
Phone (717) 272-5464

Organizations & group practices 4

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1235835802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CAMERON ST STE 201",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012424",
            "telephone_number": "717-223-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CHARLES ST",
            "city": "HIGHSPIRE",
            "state": "PA",
            "postal_code": "170341023",
            "telephone_number": "717-500-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAASCH",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2023-02-06",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highspire, PA

Sources for this page

Verify at the official NPI Registry.