Joann Ellenberger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013843 Issued in PA

Practice address

37 Susquenita Hill Rd
Duncannon, PA 17020-9537

Phone

(717) 877-9831

Fax

(717) 834-9563

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Interoperability endpoints

• Direct secure messaging: joannellenberger@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1508975392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SUSQUENITA HILL RD",
            "city": "DUNCANNON",
            "state": "PA",
            "postal_code": "170209537",
            "telephone_number": "717-877-9831",
            "fax_number": "717-834-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SUSQUENITA HILL RD",
            "city": "DUNCANNON",
            "state": "PA",
            "postal_code": "170209537",
            "telephone_number": "717-877-9831",
            "fax_number": "717-834-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENBERGER",
        "first_name": "JOANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "640487",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019616660002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan G Diffenderfer, PT
• Jean M Diven
• Drayer Physical Therapy Institute LLC
• Duncannon Emergency Medical Services Inc
• Duncannon SNF Opco LLC
• Extendicare Homes, Inc.
• Cheryl Gleason
• Konrad Gorski
• Emma Herbert, DPT
• Homecare Therapies, LLC

• All providers in Duncannon, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.