Individual provider Active NPI

Jeanne Drayer, LCSW

  • Clinical Social Worker
  • Brookville, PA
National Provider Identifier
1245256759
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015451 Issued in PA
Practice address
100 Hospital Rd
Brookville, PA 15825-1367
Phone
(814) 849-1396
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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 CW015451 PA Primary

Addresses

Primary practice location

100 Hospital Rd
Brookville, PA 15825-1367

Mailing address

300 S Jefferson St
Kittanning, PA 16201-2416
Phone (725) 543-2941

Other practice location 1

300 S Jefferson St
Kittanning, PA 16201-2416
Phone (724) 543-2941

Other identifiers 1

IdentifierTypeStateIssuer
1017761940001MedicaidPA

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
I20061117000327 PA Practitioner - Clinical Social Worker 5496753949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical Center 424 clinicians

Practice addresses (Care Compare)

22 Industrial Park Rd
Brookville, PA 15825-7228
Phone (814) 849-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Brookville Hospital CurrentSince Jan 1, 2020 Accepting new patients
Dubois Regional Medical Center CurrentSince Jul 19, 2022 Accepting new patients
Brookville Hospital CurrentSince Jan 1, 2020 Accepting new patients
Dubois Regional Medical Center CurrentSince Jul 19, 2022 Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

Organizations & group practices 5

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1245256759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JEFFERSON ST",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012416",
            "telephone_number": "725-543-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251367",
            "telephone_number": "814-849-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Kittanning",
            "state": "PA",
            "postal_code": "162012416",
            "country_code": "US",
            "telephone_number": "724-543-2941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAYER",
        "first_name": "JEANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017761940001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, PA

Sources for this page

Verify at the official NPI Registry.