Individual provider Active NPI

Mary Tate Lotspeich, LCSW

  • Clinical Social Worker
  • Lewisburg, PA
National Provider Identifier
1467456905
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW003978L Issued in PA
Practice address
32 Whisper Creek Drive
Suite 4
Lewisburg, PA 17837-7770
Phone
(570) 523-0601
Fax
(570) 523-1701
NPI assigned
Jun 13, 2005
Last updated
Mar 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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 CW003978L PA Primary

Addresses

Primary practice location

32 Whisper Creek Drive
Suite 4
Lewisburg, PA 17837-7770

Mailing address

210 N 2ND St
Lewisburg, PA 17837-1518
Phone (570) 523-0601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW003978LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Merakey Pennsylvania Past Accepting new patients

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, 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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1467456905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N 2ND ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371518",
            "telephone_number": "570-523-0601",
            "fax_number": "570-523-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WHISPER CREEK DRIVE",
            "address_2": "SUITE 4",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178377770",
            "telephone_number": "570-523-0601",
            "fax_number": "570-523-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTSPEICH",
        "first_name": "MARY",
        "middle_name": "TATE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW003978L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.