Individual provider Active NPI

Sheryl Johnson, LCSW

  • Clinical Social Worker
  • Carlisle, PA
National Provider Identifier
1629369145
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018693 Issued in PA
Practice address
1779 W Trindle Rd # 200-K
Carlisle, PA 17015-9766
Phone
(717) 601-2824
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 16083 MD
Clinical Social Worker 1041C0700X Q1-0001187 DE
Clinical Social Worker 1041C0700X CW018693 PA Primary

Addresses

Primary practice location

1779 W Trindle Rd # 200-K
Carlisle, PA 17015-9766

Mailing address

1084 Grahams Wood Rd
Newville, PA 17241-9780
Phone (443) 736-9047

Other practice location 1

155 S Hanover St
Carlisle, PA 17013-3455
Phone (717) 386-5971

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
I20151125001082 PA Practitioner - Clinical Social Worker 8224338116 Practice locations: Carlisle, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1084 Grahams Wood Rd
Newville, PA 17241-9780

1779 W Trindle Rd
200 K
Carlisle, PA 17015-9766
Phone (717) 601-2824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001187DEMDClinical Social Worker
16083MDMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Perspective Counseling LLC CurrentSince Nov 12, 2023 Accepting new patients
Downtown Counseling Center LLC PastSince Aug 1, 2017 Accepting new patients

Locations

1779 W Trindle Rd
#200K
Carlisle, PA 17015
Phone (717) 601-2824

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1629369145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 GRAHAMS WOOD RD",
            "city": "NEWVILLE",
            "state": "PA",
            "postal_code": "172419780",
            "telephone_number": "443-736-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 W TRINDLE RD # 200-K",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159766",
            "telephone_number": "717-601-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 S Hanover St",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170133455",
            "country_code": "US",
            "telephone_number": "717-386-5971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHERYL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "16083",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001187",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.