Individual provider Active NPI

Jill Ann Needler

  • Clinical Social Worker
  • Bessemer, PA
National Provider Identifier
1689722209
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016608 Issued in PA
Practice address
301 13TH St
Bessemer, PA 16112-9777
Phone
(724) 510-5112
NPI assigned
Jan 8, 2007
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW125608 PA
Clinical Social Worker 1041C0700X CW016608 PA Primary

Addresses

Primary practice location

301 13TH St
Bessemer, PA 16112-9777

Mailing address

301 13TH St
Bessemer, PA 16112-9777
Phone (724) 510-5112

Other practice location 1

142 N Market St
New Wilmington, PA 16142-1107
Phone (724) 946-0033

Other practice location 2

142 N Market St
New Wilmington, PA 16142-1107
Phone (724) 946-0033

Other practice location 3

276 Villa Maria Road
Pulaski, PA 16143
Phone (724) 510-5112

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
I20110124000738 PA Practitioner - Clinical Social Worker 6608055637 Practice locations: Bessemer, PA; Sharon, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 13TH St
Bessemer, PA 16112-9777
Phone (724) 510-5112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW125608PAMDSocial Worker
CW016608PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
My Healing Journey LLC Clinical Current Accepting new patients

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, 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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1689722209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 13TH ST",
            "city": "BESSEMER",
            "state": "PA",
            "postal_code": "161129777",
            "telephone_number": "724-510-5112",
            "fax_number": "724-964-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 13TH ST",
            "city": "BESSEMER",
            "state": "PA",
            "postal_code": "161129777",
            "telephone_number": "724-510-5112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 N Market St",
            "address_purpose": "LOCATION",
            "city": "New Wilmington",
            "state": "PA",
            "postal_code": "161421107",
            "country_code": "US",
            "telephone_number": "724-946-0033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "142 N Market St",
            "address_purpose": "LOCATION",
            "city": "New Wilmington",
            "state": "PA",
            "postal_code": "161421107",
            "country_code": "US",
            "telephone_number": "724-946-0033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "276 VILLA MARIA ROAD",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "PA",
            "postal_code": "16143",
            "country_code": "US",
            "telephone_number": "724-510-5112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEEDLER",
        "first_name": "JILL",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125608",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, PA

Sources for this page

Verify at the official NPI Registry.