Active NPI
Cheryl Woodcock, LCSW
- Clinical Social Worker
- Newport, PA
National Provider Identifier
1629114111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015633
- Practice address
- 28W Shortcut Rd
Newport, PA 17074-8721 - Phone
- (717) 567-3524
- Fax
- (717) 567-3581
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW015633 | PA | Primary |
Addresses
Primary practice location
28W Shortcut Rd
Newport, PA 17074-8721
Mailing address
28W Shortcut Rd
Newport, PA 17074-8721
Phone (717) 567-3524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019436680001 | Medicaid | PA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
28 W Shortcut Rd
Newport, PA 17074-8721
Phone (717) 567-3524
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Newport Counseling Center, LLC | Clinical | Current | Accepting new patients |
Locations
28 W Shortcut Rd
Newport, PA 17074
Phone (717) 567-3174
Interoperability endpoints
- cherylwoodcock@tdh.allscriptsdirect.net
Organizations & group practices 2
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": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1629114111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28W SHORTCUT RD",
"city": "NEWPORT",
"state": "PA",
"postal_code": "170748721",
"telephone_number": "717-567-3524",
"fax_number": "717-567-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28W SHORTCUT RD",
"city": "NEWPORT",
"state": "PA",
"postal_code": "170748721",
"telephone_number": "717-567-3524",
"fax_number": "717-567-3581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODCOCK",
"first_name": "CHERYL",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW015633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019436680001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.