Individual provider Active NPI

Lynn Appleby

  • Clinical Social Worker
  • Camp Hill, PA
National Provider Identifier
1417408725
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022808 Issued in PA
Practice address
205 Grandview Ave Ste 200K
Camp Hill, PA 17011-1708
Phone
(717) 415-5628
NPI assigned
Oct 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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 CW022808 PA Primary

Addresses

Primary practice location

205 Grandview Ave Ste 200K
Camp Hill, PA 17011-1708

Mailing address

205 Grandview Ave Ste 200K
Camp Hill, PA 17011-1708
Phone (717) 415-5628

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
I20230315000499 PA Practitioner - Clinical Social Worker 8527349505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 Grandview Ave
Suite 200K
Camp Hill, PA 17011-1708

906 Penn Ave
Wyomissing, PA 19610-3042
Phone (717) 415-5628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW022808PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Appleby Counseling LLC CurrentSince Mar 15, 2023 Accepting new patients

Locations

205 Grandview Ave
Ste 200K
Camp Hill, PA 17011
Phone (717) 415-5628

906 Penn Ave
Wyomissing, PA 19610
Phone (484) 459-6423

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1417408725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW AVE STE 200K",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111708",
            "telephone_number": "717-415-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW AVE STE 200K",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111708",
            "telephone_number": "717-415-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEBY",
        "first_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2024-05-03",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.