NPIMap

Organization Active NPI

Clear Headed Therapy

  • Social Worker
  • Wormleysburg, PA
National Provider Identifier
1407541543
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
CLEAR HEADED THERAPY
Practice address
510 N Front St
Wormleysburg, PA 17043-1016
Phone
(717) 606-3700
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Brian Davis
Title
Provider
Phone
(717) 606-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

510 N Front St
Wormleysburg, PA 17043-1016

Mailing address

8130 Adams Dr
Hummelstown, PA 17036-8623
Phone (717) 606-3700

National Provider Directory

National Provider Directory

Locations

510 N Front St
Wormleysburg, PA 17043
Phone (717) 606-3700

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1407541543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 ADAMS DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368623",
            "telephone_number": "717-606-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N FRONT ST",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431016",
            "telephone_number": "717-606-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR HEADED THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "717-606-3700"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.