Individual provider Active NPI

Debra L. Wolford, LCSW

  • Clinical Social Worker
  • Mechanicsburg, PA
National Provider Identifier
1497139976
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019707 Issued in PA
Practice address
100 Winding Creek Blvd Ste 3
Mechanicsburg, PA 17050
Phone
(717) 590-7283
NPI assigned
Jul 15, 2015
Last updated
Jan 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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 CW019707 PA Primary

Addresses

Primary practice location

100 Winding Creek Blvd Ste 3
Mechanicsburg, PA 17050

Mailing address

3903 Hartzdale Dr
Suite 305
Camp Hill, PA 17011-7836
Phone (717) 763-8650

Other practice location 1

100 Winding Creek Blvd Ste 3
Mechanicsburg, PA 17050
Phone (717) 590-7283

Other practice location 2

205 S Front St Fl 5
Harrisburg, PA 17104-1619
Phone (717) 231-8360

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwolford114789@phsdirect.pinnaclehealth.org

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
I20191025002485 PA Practitioner - Clinical Social Worker 2567794480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6059 Allentown Blvd
Suite 266
Harrisburg, PA 17112-2672
Phone (717) 208-2215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019707PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Winding Creek Counseling Services, LLC CurrentSince Feb 10, 2023 Accepting new patients
Insightful Growth Counseling LLC Clinical CurrentSince Jun 8, 2023 Accepting new patients
Beacon Psychological Services of Pennsylvania LLC Past Accepting new patients

Locations

6059 Allentown Blvd
Harrisburg, PA 17112
Phone (717) 208-2215

100 Winding Creek Blvd
Ste 3
Mechanicsburg, PA 17050
Phone (717) 249-8756

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1497139976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 HARTZDALE DR",
            "address_2": "SUITE 305",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117836",
            "telephone_number": "717-763-8650",
            "fax_number": "717-763-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WINDING CREEK BLVD STE 3",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17050",
            "telephone_number": "717-590-7283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Winding Creek Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "17050",
            "country_code": "US",
            "telephone_number": "717-590-7283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 S Front St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171041619",
            "country_code": "US",
            "telephone_number": "717-231-8360",
            "fax_number": "717-231-8358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFORD",
        "first_name": "DEBRA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwolford114789@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "205 S Front St Fl 5",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171041619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.