Individual provider Active NPI

Elana L Eisenberg, MSW, LSW

  • Clinical Social Worker
  • Coatesville, PA
National Provider Identifier
1548375165
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1400 Blackhorse Hill Rd
116CM
Coatesville, PA 19320-2040
Phone
(610) 384-7711
NPI assigned
Aug 21, 2006
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW013307L PA
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1400 Blackhorse Hill Rd
116CM
Coatesville, PA 19320-2040

Mailing address

PO Box 454
Montgomeryville, PA 18936-0454
Phone (215) 997-2000

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
I20131121001101 PA Practitioner - Clinical Social Worker 4789810763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Perelman School of Med at the University of Pennsylvania, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Health Services IncGroup PAC ID 1153571831, 20 clinicians

Practice addresses (Care Compare)

182 Bethlehem Pike
Colmar, PA 18915-9790
Phone (215) 997-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW013307LPAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Health Services Inc CurrentSince Oct 1, 2013 Accepting new patients

Locations

160 Bethlehem Pike
Ste 120
Colmar, PA 18915
Phone (215) 341-6254

182 Bethlehem Pike
Colmar, PA 18915
Phone (215) 997-1660

595 Bethlehem Pike
Ste 106
Montgomeryville, PA 18936
Phone (215) 308-8141

6930 Market St
Upper Darby, PA 19082
Phone (434) 469-4302

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1548375165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189360454",
            "telephone_number": "215-997-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BLACKHORSE HILL RD",
            "address_2": "116CM",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202040",
            "telephone_number": "610-384-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "ELANA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW013307L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.