Individual provider Active NPI

Sharon B Bietsch, LCSW

  • Clinical Social Worker
  • Harrisburg, PA
National Provider Identifier
1366438103
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW-015931 Issued in PA
Practice address
4918 Locust Lane
Harrisburg, PA 17109
Phone
(717) 671-9610
Fax
(717) 671-9680
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW122751 PA
Clinical Social Worker 1041C0700X CW-015931 PA Primary

Addresses

Primary practice location

4918 Locust Lane
Harrisburg, PA 17109

Mailing address

200 North 7TH St
Lebanon, PA 17046
Phone (717) 273-1710

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
I20080703000096 PA Practitioner - Clinical Social Worker 0840362034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alcove Counseling Services PCGroup PAC ID 8628253614, 3 clinicians

Practice addresses (Care Compare)

1150 Lancaster Blvd
Suite 100
Mechanicsburg, PA 17055-4495
Phone (717) 691-1090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW122751PAMDSocial Worker
CW-015931PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alcove Counseling Services PC CurrentSince Aug 1, 2023 Accepting new patients
Pennsylvania Counseling Services Inc. CurrentSince Jun 1, 2008 Accepting new patients

Locations

200 N 7th St
Lebanon, PA 17046
Phone (717) 272-5464

1150 Lancaster Blvd
Ste 100
Mechanicsburg, PA 17055
Phone (717) 691-1090

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1366438103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTH 7TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17046",
            "telephone_number": "717-273-1710",
            "fax_number": "717-273-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 LOCUST LANE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17109",
            "telephone_number": "717-671-9610",
            "fax_number": "717-671-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIETSCH",
        "first_name": "SHARON",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW122751",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW-015931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.