Individual provider Active NPI

Cheryl Woodcock, LCSW

  • Clinical Social Worker
  • Newport, PA
National Provider Identifier
1629114111
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015633 Issued in PA
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

Updated by the provider on Dec 21, 2015

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 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

IdentifierTypeStateIssuer
1019436680001MedicaidPA

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
I20070417000497 PA Practitioner - Clinical Social Worker 9133224348 Reassigns benefits to 1 organization

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
Newport Counseling Center, LLCGroup PAC ID 6608930920, 7 clinicians

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

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Newport Counseling Center, LLC Clinical CurrentSince Sep 28, 2009 Accepting new patients

Locations

28 W Shortcut Rd
Newport, PA 17074
Phone (717) 567-3174

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.