Individual provider Active NPI

Mary K Mutschler, MSW, LCSW,BCPCC

  • Clinical Social Worker
  • Lebanon, PA
National Provider Identifier
1437465002
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016685 Issued in PA
Practice address
4TH and Walnut Streets
GSH Chapel
Lebanon, PA 17042-6165
Phone
(717) 602-8205
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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 CW016685 PA Primary

Addresses

Primary practice location

4TH and Walnut Streets
GSH Chapel
Lebanon, PA 17042-6165

Mailing address

PO Box 333
Palmyra, PA 17078-0333
Phone (717) 602-8205

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
I20110615000808 PA Practitioner - Clinical Social Worker 0648457804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LL Mulhollem Counseling and Psychotherapy LLCGroup PAC ID 7113346610, 4 clinicians

Practice addresses (Care Compare)

751 E High St
Elizabethtown Office
Elizabethtown, PA 17022-1714
Phone (717) 489-2901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016685PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
L L Mulhollem Counseling and Psychotherapy, LLC Clinical CurrentSince Sep 1, 2020 Accepting new patients
T.W. Ponessa & Associates Counseling Services, Inc. CurrentSince May 2, 2011 Accepting new patients

Locations

751 E High St
Ofc
Elizabethtown, PA 17022
Phone (717) 489-2901

751 E High St
Elizabethtown, PA 17022
Phone (717) 489-2901

410 N Prince St
Lancaster, PA 17603

2501 Oregon Pike
Ste 108
Lancaster, PA 17601
Phone (717) 489-2901

15 S 9th St
Lebanon, PA 17042
Phone (717) 273-5992

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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1437465002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170780333",
            "telephone_number": "717-602-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TH AND WALNUT STREETS",
            "address_2": "GSH CHAPEL",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426165",
            "telephone_number": "717-602-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTSCHLER",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "MSW, LCSW,BCPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.