Deirdre Marie Eberhart, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020348 Issued in PA

Practice address

27241 State Route 267
Friendsville, PA 18818-8640

Phone

(607) 669-2583

Fax

(607) 238-3731

NPI assigned

Apr 3, 2013

Last updated

Dec 27, 2020By 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 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609027200000",
    "number": "1558604009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 WILDWOOD DR",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137601635",
            "telephone_number": "321-831-8455",
            "fax_number": "607-238-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27241 STATE ROUTE 267",
            "city": "FRIENDSVILLE",
            "state": "PA",
            "postal_code": "188188640",
            "telephone_number": "607-669-2583",
            "fax_number": "607-238-3731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 S Apollo Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011457",
            "country_code": "US",
            "telephone_number": "321-804-2758",
            "fax_number": "321-676-3383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3632 Wildwood Dr",
            "address_purpose": "LOCATION",
            "city": "Endwell",
            "state": "NY",
            "postal_code": "137601635",
            "country_code": "US",
            "telephone_number": "321-831-8455",
            "fax_number": "607-238-3731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERHART",
        "first_name": "DEIRDRE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088469-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13004",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sendsafe.to/info@eberharttherapy.com",
            "affiliation": "N",
            "endpointDescription": "Secure message potal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure hipaa protected email portal with encryption",
            "address_1": "27241 State Route 267",
            "city": "Friendsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "188188640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Friendsville, PA
• Providers in Friendsville, 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 Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.