Individual provider Active NPI

Erin Witmer, LCSW

  • Clinical Social Worker
  • Pottsville, PA
National Provider Identifier
1629550462
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021689 Issued in PA
Practice address
17 Westwood Ctr
Pottsville, PA 17901-1800
Phone
(570) 628-2965
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 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 CW021689 PA Primary

Addresses

Primary practice location

17 Westwood Ctr
Pottsville, PA 17901-1800

Mailing address

424 E Wiconisco St
Tower City, PA 17980-9403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW021689PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Furnace Creek Counseling LLC Clinical CurrentSince Mar 18, 2024 Accepting new patients
Berks Counseling Center, Inc. PastSince Jul 24, 2022 Accepting new patients
Sexual Assault Resource & Counseling Center of Lebanon & SCH Social Worker PastSince Nov 17, 2024 Accepting new patients
Alora Counseling Center LLC PastSince Sep 12, 2021 Accepting new patients

Locations

140 W Penn Ave
#2
Robesonia, PA 19551
Phone (610) 750-9135

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1629550462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E WICONISCO ST",
            "city": "TOWER CITY",
            "state": "PA",
            "postal_code": "179809403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WESTWOOD CTR",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011800",
            "telephone_number": "570-628-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITMER",
        "first_name": "ERIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.