Anne Marie Anderegg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016015 Issued in PA

Practice address

520 Ruah Street
Blossburg, PA 16912

Phone

(570) 638-1260

Fax

(570) 638-2065

NPI assigned

Nov 28, 2006

Last updated

Dec 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anne Marie Gleason Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anne.anderegg@upmcdirect.com

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.

• North Penn Comprehensive Health Services

  dba Laurel Health Center

  • Federally Qualified Health Center (FQHC)
  • Wellsboro, PA
  • NPI 1912093576
  Medicare reassignment NPD
• North Penn Comprehensive Health Services

  dba Westfield Laurel Health Center

  • Federally Qualified Health Center (FQHC)
  • Westfield, PA
  • NPI 1366524241
  NPD
• North Penn Comprehensive Health Services

  dba Laurel Behavioral Health Outpatient

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellsboro, PA
  • NPI 1346461381
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1467528810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEST AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011358",
            "telephone_number": "570-723-0620",
            "fax_number": "570-724-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 RUAH STREET",
            "city": "BLOSSBURG",
            "state": "PA",
            "postal_code": "16912",
            "telephone_number": "570-638-1260",
            "fax_number": "570-638-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDEREGG",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "GLEASON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carmen Marie Bates, RDH
• Patrick Bauman, RPH
• Bloss Pharmacy, Inc. (Bloss Pharmacy)
• Blossburg Firemens Ambulance Association, Inc
• Kathryn G Brodrick, LCSW

• Clinical Social Worker in Blossburg, PA
• Providers in Blossburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.