Individual provider Active NPI

Ann S Dittmar, LCSW

  • Social Worker
  • Greensburg, PA
National Provider Identifier
1316004427
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CW006295L Issued in PA
Practice address
4963 Route 30
Suite 204
Greensburg, PA 15601-2343
Phone
(724) 610-7726
Fax
(724) 420-5739
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW006295L PA
Social Worker 104100000X CW006295L PA Primary

Addresses

Primary practice location

4963 Route 30
Suite 204
Greensburg, PA 15601-2343

Mailing address

4963 Route 30
Suite 204
Greensburg, PA 15601-2343
Phone (724) 610-7726

Other identifiers 1

IdentifierTypeStateIssuer
1007610520008MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000599 PA Practitioner - Clinical Social Worker 3375430143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4963 Rte
30 Suite 204
Greensburg, PA 15601-2343
Phone (724) 610-7726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW006295LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dittmar Counseling Services, LLC CurrentSince Sep 25, 2024 Accepting new patients

Locations

4963 State Route 30
Ste 204
Greensburg, PA 15601
Phone (412) 583-8817

Organizations & group practices 1

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1316004427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4963 ROUTE 30",
            "address_2": "SUITE 204",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012343",
            "telephone_number": "724-610-7726",
            "fax_number": "724-420-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4963 ROUTE 30",
            "address_2": "SUITE 204",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012343",
            "telephone_number": "724-610-7726",
            "fax_number": "724-420-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTMAR",
        "first_name": "ANN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW006295L",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW006295L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007610520008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.