Individual provider Active NPI

Tyler Justin Seiffert, LCSW

  • Clinical Social Worker
  • Lancaster, PA
National Provider Identifier
1255067625
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024984 Issued in PA
Practice address
354 N Prince St Ste 120
Lancaster, PA 17603-3085
Phone
(717) 553-5341
Fax
(717) 869-6411
NPI assigned
Jul 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW139094 PA
Clinical Social Worker 1041C0700X CW024984 PA Primary

Addresses

Primary practice location

354 N Prince St Ste 120
Lancaster, PA 17603-3085

Mailing address

410 N Prince St
Lancaster, PA 17603-3010
Phone (717) 560-7917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW139094PAMDSocial Worker
CW024984PAMDClinical Social Worker
CW024987PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
T. W. Ponessa and Associates Counseling Services, Inc. PastSince Jul 31, 2022 Accepting new patients
T. W. Ponessa and Associates Counseling PastSince Jul 31, 2022 Accepting new patients

Organizations & group practices 2

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": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1255067625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N PRINCE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033010",
            "telephone_number": "717-560-7917",
            "fax_number": "717-560-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 N PRINCE ST STE 120",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033085",
            "telephone_number": "717-553-5341",
            "fax_number": "717-869-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIFFERT",
        "first_name": "TYLER",
        "middle_name": "JUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139094",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.