Organization Active NPI

Donald Anklam, LLC

  • Social Worker
  • Wormleysburg, PA
National Provider Identifier
1255196853
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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

Updated by the provider on Feb 14, 2024

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)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20240716000962 PA Part B Supplier - Clinic/Group Practice 3779028659 Receives reassigned benefits from 1 practitioner
Practice locations: Wormleysburg, PA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.