Individual provider Active NPI

Epauline Faubert, LCSW

  • Clinical Social Worker
  • Harrisburg, PA
National Provider Identifier
1609202860
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017800 Issued in PA
Practice address
600 N 2ND St Ste 401
Harrisburg, PA 17101-1071
Phone
(484) 628-8070
Fax
(877) 794-3529
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 CW017800 PA Primary

Addresses

Primary practice location

600 N 2ND St Ste 401
Harrisburg, PA 17101-1071

Mailing address

PO Box 1595
Middletown, CT 06457-8095
Phone (610) 372-8044

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
I20131112000656 PA Practitioner - Clinical Social Worker 2062648512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meditelecare of Pennsylvania LLCGroup PAC ID 8527488030, 25 clinicians

Practice addresses (Care Compare)

600 N 2ND St
Suite 401
Harrisburg, PA 17101-1071
Phone (860) 788-6404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017800PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meditelecare of Pennsylvania LLC Clinical CurrentSince Aug 27, 2023 Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1609202860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064578095",
            "telephone_number": "610-372-8044",
            "fax_number": "877-794-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 2ND ST STE 401",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171011071",
            "telephone_number": "484-628-8070",
            "fax_number": "877-794-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUBERT",
        "first_name": "EPAULINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.