Individual provider Active NPI

Kirstie Ward, LCSW

  • Social Worker
  • Mechanicsburg, PA
National Provider Identifier
1366011975
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW135267 Issued in PA
Practice address
1001 S Market St Ste B
Mechanicsburg, PA 17055-4748
Phone
(717) 406-5190
NPI assigned
Jun 18, 2021
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW135267 PA Primary

Addresses

Primary practice location

1001 S Market St Ste B
Mechanicsburg, PA 17055-4748

Mailing address

1001 S Market St Ste B
Mechanicsburg, PA 17055-4748
Phone (717) 406-5190

Other names 1

  • Kirstie Liptok Former name

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
I20250213000400 PA Practitioner - Clinical Social Worker 9032649231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Counseling ServicesGroup PAC ID 8426276122, 5 clinicians

Practice addresses (Care Compare)

5021 E Trindle Rd
Mechanicsburg, PA 17050-3528
Phone (717) 406-5190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW135267PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Counseling Services CurrentSince Jan 28, 2025 Accepting new patients

Locations

1001 S Market St
Ste B
Mechanicsburg, PA 17055
Phone (717) 406-5190

5021 E Trindle Rd
Mechanicsburg, PA 17050
Phone (717) 406-5190

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1366011975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MARKET ST STE B",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554748",
            "telephone_number": "717-406-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MARKET ST STE B",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554748",
            "telephone_number": "717-406-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KIRSTIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTIE",
            "last_name": "LIPTOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.