Active NPI
Christine Marie Kaufman, LCSW
- Clinical Social Worker
- Lancaster, PA
National Provider Identifier
1558975201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW022798
- Practice address
- 802 New Holland Ave Ste 200
Lancaster, PA 17602-2288 - Phone
- (717) 299-6372
- NPI assigned
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW012555L | PA | |
| Clinical Social Worker | 1041C0700X | CW022798 | PA | Primary |
Addresses
Primary practice location
802 New Holland Ave Ste 200
Lancaster, PA 17602-2288
Mailing address
Union Community Care
304 North Water Street
Lancaster, PA 17603
Phone (717) 299-6372
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW012555L | PA | MD | Social Worker |
| CW022798 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Community Care | Current | Accepting new patients | |
| Union Community Care | Current | Accepting new patients | |
| Union Community Care | Current | Accepting new patients | |
| Union Community Care | Past | Accepting new patients |
Locations
304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372
802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700
435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Lancaster, PA
- NPI 1134458789
-
- Federally Qualified Health Center (FQHC)
- Lancaster, PA
- NPI 1417812710
-
- Federally Qualified Health Center (FQHC)
- Lebanon, PA
- NPI 1710323001
-
- Federally Qualified Health Center (FQHC)
- Lancaster, PA
- NPI 1538681283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1558975201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNION COMMUNITY CARE",
"address_2": "304 NORTH WATER STREET",
"city": "LANCASTER",
"state": "PA",
"postal_code": "17603",
"telephone_number": "717-299-6372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 NEW HOLLAND AVE STE 200",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022288",
"telephone_number": "717-299-6372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2022-07-20",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW012555L",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW022798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.