Active NPI
Hailee Vivian Shober, LSW
- Clinical Social Worker
- Lancaster, PA
National Provider Identifier
1306559968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW142091
- Practice address
- 41 E Orange St
Lancaster, PA 17602-2846 - Phone
- (717) 393-3900
- NPI assigned
- Dec 28, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | SW142091 | PA | Primary |
Addresses
Primary practice location
41 E Orange St
Lancaster, PA 17602-2846
Mailing address
111 Stonehouse BND
Willow Street, PA 17584-7800
Phone (717) 917-3822
Other practice location 1
349 W Main St Ste 105
Leola, PA 17540-2110
Phone (717) 827-7253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW142091 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1306559968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 STONEHOUSE BND",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175847800",
"telephone_number": "717-917-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 E ORANGE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022846",
"telephone_number": "717-393-3900"
}
],
"practiceLocations": [
{
"address_1": "349 W Main St Ste 105",
"address_purpose": "LOCATION",
"city": "Leola",
"state": "PA",
"postal_code": "175402110",
"country_code": "US",
"telephone_number": "717-827-7253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOBER",
"first_name": "HAILEE",
"middle_name": "VIVIAN",
"name_prefix": "Miss",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW142091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.