Active NPI
Jenna Mae Myers, LSW
- Social Worker
- York, PA
National Provider Identifier
1356949002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW136928
- Practice address
- 160 Roosevelt Ave
York, PA 17401-3378 - Phone
- (717) 845-2425
- Fax
- (717) 845-2682
- NPI assigned
- Oct 14, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW136928 | PA | Primary |
Addresses
Primary practice location
160 Roosevelt Ave
York, PA 17401-3378
Mailing address
410 N Prince St
Lancaster, PA 17603-3010
Phone (717) 560-7917
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 |
|---|---|---|---|
| SW136928 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T. W. Ponessa and Associates Counseling | Past | Accepting new patients | |
| T.W. Ponessa & Associates Counseling Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Lancaster, PA
- NPI 1881144004
-
- Community/Behavioral Health Agency
- Lancaster, PA
- NPI 1053341859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1356949002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N PRINCE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176033010",
"telephone_number": "717-560-7917",
"fax_number": "717-560-6152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ROOSEVELT AVE",
"city": "YORK",
"state": "PA",
"postal_code": "174013378",
"telephone_number": "717-845-2425",
"fax_number": "717-845-2682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "JENNA",
"middle_name": "MAE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW136928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
- Carleen Ann Myers, CRNP
- Cheryl Myers, MSED, ATC, LAT
- Christianna Myers, OTR/L
- Emily Myers, CRNP
- Holly-Beth Nichole Myers, MS, LBS
- Mary Concino Myers, CRNP
- Myeyedr Optometry of Pennsylvania, LLC
- Myeyedr Optometry of Pennsylvania, LLC
- Myeyedr. Optometry of Pennsylvania, LLC
- Myeyedr. Optometry of Pennsylvania, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.