Individual provider Active NPI

Anna Umholtz, MSW, LCSW

  • Clinical Social Worker
  • Lancaster, PA
National Provider Identifier
1457944670
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023806 Issued in PA
Practice address
1886 Rohrerstown Rd
Lancaster, PA 17601-2322
Phone
(717) 735-1920
Fax
(717) 735-1921
NPI assigned
Feb 18, 2021
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW137609 PA
Clinical Social Worker 1041C0700X CW023806 PA Primary

Addresses

Primary practice location

1886 Rohrerstown Rd
Lancaster, PA 17601-2322

Mailing address

785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other identifiers 4

IdentifierTypeStateIssuer
CW023806OtherPASTATE LICENSE
15106600OtherCAQH
SW137609OtherPASTATE LICENSE
103886800MedicaidPA

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
I20230808001375 PA Practitioner - Clinical Social Worker 3072975077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PhilhavenGroup PAC ID 8729991419, 93 clinicians

Practice addresses (Care Compare)

1886 Rohrerstown Rd
Lancaster, PA 17601-2322
Phone (717) 735-1920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW137609PAMDSocial Worker
CW023806PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Philhaven Current Accepting new patients
Philhaven CurrentSince Jul 13, 2023 Accepting new patients
Philhaven CurrentSince Jul 13, 2023 Accepting new patients

Locations

785 5th Ave
Ste 3
Chambersburg, PA 17201

1886 Rohrerstown Rd
Lancaster, PA 17601
Phone (717) 735-0800

2501 Oregon Pike
Ste 113
Lancaster, PA 17601
Phone (717) 735-1954

204 Hathaway Park
Lebanon, PA 17042
Phone (717) 274-9777

283 Butler Rd
Mount Gretna, PA 17064
Phone (800) 932-0359

Organizations & group practices 3

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1457944670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 ROHRERSTOWN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012322",
            "telephone_number": "717-735-1920",
            "fax_number": "717-735-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMHOLTZ",
        "first_name": "ANNA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW137609",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CW023806",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15106600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SW137609",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103886800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.