Individual provider Active NPI

Donald Anklam, LCSW

  • Social Worker
  • Wormleysburg, PA
National Provider Identifier
1427589779
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW131427 Issued in PA
Practice address
1017 Mumma Rd Ste 202
Wormleysburg, PA 17043-1145
Phone
(717) 219-9903
NPI assigned
Mar 27, 2017
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 SW131427 PA Primary

Addresses

Primary practice location

1017 Mumma Rd Ste 202
Wormleysburg, PA 17043-1145

Mailing address

1017 Mumma Rd Ste 202
Wormleysburg, PA 17043-1145
Phone (717) 219-9903

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
I20230220000038 PA Practitioner - Clinical Social Worker 5799157863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1017 Mumma Rd
Suite 202
Wormleysburg, PA 17043-1145
Phone (717) 512-1581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW131427PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Winding Creek Counseling Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Donald Anklam, LLC Social Worker CurrentSince Apr 14, 2024 Accepting new patients

Locations

100 Winding Creek Blvd
#3
Mechanicsburg, PA 17050
Phone (717) 590-7283

100 Winding Creek Blvd
Ste 3
Mechanicsburg, PA 17050
Phone (717) 249-8756

1017 Mumma Rd
Ste 202
Wormleysburg, PA 17043
Phone (717) 443-9914

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, 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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1427589779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 MUMMA RD STE 202",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431145",
            "telephone_number": "717-219-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 MUMMA RD STE 202",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431145",
            "telephone_number": "717-219-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKLAM",
        "first_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW131427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

Verify at the official NPI Registry.