Individual provider Active NPI

Kathryn Eberz, LCSW

  • Clinical Social Worker
  • Elizabethtown, PA
National Provider Identifier
1407521156
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019706 Issued in PA
Practice address
535 Mulberry St
Elizabethtown, PA 17022-1825
Phone
(610) 308-0256
NPI assigned
Aug 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 CW019706 PA Primary

Addresses

Primary practice location

535 Mulberry St
Elizabethtown, PA 17022-1825

Mailing address

535 Mulberry St
Elizabethtown, PA 17022-1825
Phone (610) 308-0256

Other names 1

  • Kate Eberz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 18, 2025 through Apr 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW019706PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1407521156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MULBERRY ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221825",
            "telephone_number": "610-308-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MULBERRY ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221825",
            "telephone_number": "610-308-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERZ",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "EBERZ",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elizabethtown, PA

Sources for this page

Verify at the official NPI Registry.