Active NPI
Donald Anklam, LLC
- Social Worker
- Wormleysburg, PA
National Provider Identifier
1255196853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- DONALD ANKLAM, LLC
- Practice address
- 1017 Mumma Rd Ste 202
Wormleysburg, PA 17043-1145 - Phone
- (717) 512-1581
- NPI assigned
- Feb 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alisha Pirtle
- Title
- Manager
- Phone
- (888) 924-3627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1017 Mumma Rd Ste 202
Wormleysburg, PA 17043-1145
Mailing address
1017 Mumma Rd Ste 202
Wormleysburg, PA 17043-1145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240716000962 | PA | Part B Supplier - Clinic/Group Practice | 3779028659 |
Receives reassigned benefits from 1 practitioner Practice locations: Wormleysburg, PA |
National Provider Directory
National Provider DirectoryLocations
100 Winding Creek Blvd
#3
Mechanicsburg, PA 17050
Phone (717) 590-7283
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Mechanicsburg, PA
- NPI 1447004817
-
- Professional Counselor
- Mechanicsburg, PA
- NPI 1902634603
-
- Social Worker
- Mechanicsburg, PA
- NPI 1205765807
-
- Professional Counselor
- Mechanicsburg, PA
- NPI 1659923217
-
- Professional Counselor
- Mechanicsburg, PA
- NPI 1578305819
-
- Mental Health Counselor
- Mechanicsburg, PA
- NPI 1669831434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707868800000",
"number": "1255196853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 MUMMA RD STE 202",
"city": "WORMLEYSBURG",
"state": "PA",
"postal_code": "170431145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 MUMMA RD STE 202",
"city": "WORMLEYSBURG",
"state": "PA",
"postal_code": "170431145",
"telephone_number": "717-512-1581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD ANKLAM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-14",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A",
"authorized_official_last_name": "PIRTLE",
"authorized_official_first_name": "ALISHA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "888-924-3627"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wormleysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.