Mark Eidemiller, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1 Corporate Cir
Suite 2000
Greensburg, PA 15601-9700

Phone

(724) 850-7300

Fax

(724) 850-7778

NPI assigned

May 15, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1457586711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 NEW LONDON DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156011143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CORPORATE CIR",
            "address_2": "SUITE 2000",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019700",
            "telephone_number": "724-850-7300",
            "fax_number": "724-850-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDEMILLER",
        "first_name": "MARK",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward a Gumm MD PC
• Edward L Williamson, M.D.,P.C.
• Ehpp Chestnut Ridge LLC
• Paul David Ehrlichman Jr., DO
• Lauren Elizabeth Eicher, M.ED.
• Sarah Marie Eidemiller, LCSW
• Kathleen Eisensmith, CRNP
• Samra El-Attrache, CRNP
• Elderly Care PC
• Elevation Psychological Services

• Social Worker in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.