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

Last updated

Aug 9, 2012By the provider in NPPES

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 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": [],
    "endpoints": [],
    "other_names": []
}

• Susan G Diffenderfer, PT
• Jean M Diven
• Drayer Physical Therapy Institute LLC
• Duncannon Emergency Medical Services Inc
• Duncannon SNF Opco LLC (Allens Cove Health Care Center)
• Extendicare Homes, Inc. (Stonebridge Health & Rehabilitation Center)
• Cheryl Gleason
• Konrad Gorski
• Homecare Therapies, LLC
• Courtney Jo Ingalls, CCC-SLP

• Clinical Social Worker in Duncannon, PA
• Providers in Duncannon, 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 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.