Individual provider Active NPI

Jessica Neely, LCSW

  • Clinical Social Worker
  • Millersburg, PA
National Provider Identifier
1346614799
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021348 Issued in PA
Practice address
660 Rising Sun Rd
Millersburg, PA 17061-1245
Phone
(717) 827-6343
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW021348 PA Primary

Addresses

Primary practice location

660 Rising Sun Rd
Millersburg, PA 17061-1245

Mailing address

660 Rising Sun Rd
Millersburg, PA 17061-1245
Phone (717) 827-6343

Other practice location 1

3 Flowers Dr
Mechanicsburg, PA 17050-1701
Phone (717) 612-1837

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
I20221213000350 PA Practitioner - Clinical Social Worker 2567831662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Counseling Services, PCGroup PAC ID 5698046357, 25 clinicians

Practice addresses (Care Compare)

300 Mulberry St
Suite 201
Scranton, PA 18503-1233
Phone (570) 955-5479

660 Rising Sun Rd
Millersburg, PA 17061-1245
Phone (717) 362-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW021348PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Services, PC CurrentSince Nov 22, 2022 Accepting new patients

Locations

660 Rising Sun Rd
Millersburg, PA 17061
Phone (717) 362-8900

300 Mulberry St
Ste 201
Scranton, PA 18503
Phone (570) 955-5479

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1346614799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 RISING SUN RD",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611245",
            "telephone_number": "717-827-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 RISING SUN RD",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611245",
            "telephone_number": "717-827-6343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Flowers Dr",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170501701",
            "country_code": "US",
            "telephone_number": "717-612-1837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, PA

Sources for this page

Verify at the official NPI Registry.