Individual provider Active NPI

Kanjana Michelle Hartshorne, MSW, LCSW, C-IAYT

  • Clinical Social Worker
  • Wayne, PA
National Provider Identifier
1649600776
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018396 Issued in PA
Practice address
860 E Swedesford Rd
Suite 200
Wayne, PA 19087-2130
Phone
(610) 790-3442
NPI assigned
Nov 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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 CW018396 PA Primary

Addresses

Primary practice location

860 E Swedesford Rd
Suite 200
Wayne, PA 19087-2130

Mailing address

1116 Overlook Dr
Romansville, PA 19320-4822
Phone (610) 790-3442

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
I20180118002369 PA Practitioner - Clinical Social Worker 5991064925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Hearts Wellness, LLCGroup PAC ID 0648515973, 2 clinicians

Practice addresses (Care Compare)

967 E Swedesford Rd
Suite 100B
Exton, PA 19341-2332
Phone (610) 790-3442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Wellness, LLC Clinical CurrentSince Oct 8, 2018 Accepting new patients

Locations

967 E Swedesford Rd
Ste 100B
Exton, PA 19341
Phone (610) 790-3442

967 E Swedesford Rd
Ste 100
Exton, PA 19341
Phone (610) 240-4827

860 E Swedesford Rd
Ste 200
Wayne, PA 19087
Phone (610) 790-3442

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": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1649600776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 OVERLOOK DR",
            "city": "ROMANSVILLE",
            "state": "PA",
            "postal_code": "193204822",
            "telephone_number": "610-790-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E SWEDESFORD RD",
            "address_2": "SUITE 200",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872130",
            "telephone_number": "610-790-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSHORNE",
        "first_name": "KANJANA",
        "middle_name": "MICHELLE",
        "credential": "MSW, LCSW, C-IAYT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.