Active NPI
Jeanne Drayer, LCSW
- Clinical Social Worker
- Brookville, PA
National Provider Identifier
1245256759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015451
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017761940001 | Medicaid | PA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookville Hospital | Current | Accepting new patients | |
| Brookville Hospital | Current | Accepting new patients | |
| Dubois Regional Medical Center | Current | Accepting new patients | |
| Brookville Hospital | Current | Accepting new patients | |
| Dubois Regional Medical Center | Current | 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.
-
- Rural Health Clinic/Center
- Brookville, PA
- NPI 1184333742
-
- Pharmacy
- Ridgway, PA
- NPI 1366900458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.