Individual provider Active NPI

Nicole R Wade, LCSW

  • Clinical Social Worker
  • Harrisburg, PA
National Provider Identifier
1548975972
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
025428 Issued in PA
Practice address
2378 Magnolia Ter
Harrisburg, PA 17110-9308
Phone
(717) 975-7214
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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 025428 PA Primary

Addresses

Primary practice location

2378 Magnolia Ter
Harrisburg, PA 17110-9308

Mailing address

2378 Magnolia Ter
Harrisburg, PA 17110-9308
Phone (717) 975-7214

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
I20260105001025 PA Practitioner - Clinical Social Worker 4587150016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

155 S Hanover St
Ofc
Carlisle, PA 17013-3453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025428PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Counseling Center LLC CurrentSince Oct 23, 2025 Accepting new patients

Locations

412 Erford Rd
Camp Hill, PA 17011
Phone (717) 386-5971

155 S Hanover St
Ofc
Carlisle, PA 17013
Phone (717) 386-5971

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": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1548975972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 MAGNOLIA TER",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109308",
            "telephone_number": "717-975-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2378 MAGNOLIA TER",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109308",
            "telephone_number": "717-975-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "025428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.