Active NPI
Amy Klein Keisling, MSW
- Clinical Social Worker
- Harrisburg, PA
National Provider Identifier
1689780918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW006858L
- Practice address
- 2151 Linglestown Road
Suite 200
Harrisburg, PA 17110 - Phone
- (717) 540-1313
- Fax
- (717) 540-1416
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW006858L | PA | Primary |
Addresses
Primary practice location
2151 Linglestown Road
Suite 200
Harrisburg, PA 17110
Mailing address
2151 Linglestown Road
Suite 200
Harrisburg, PA 17110
Phone (717) 540-1313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03126901 | Other | CAPITAL BLUE CROSS |
Other names 1
- Amy Lynn Klein
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2017 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Psychological & Therapeutic | Past | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Harrisburg, PA
- NPI 1750398715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689780918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 LINGLESTOWN ROAD",
"address_2": "SUITE 200",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17110",
"telephone_number": "717-540-1313",
"fax_number": "717-540-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 LINGLESTOWN ROAD",
"address_2": "SUITE 200",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17110",
"telephone_number": "717-540-1313",
"fax_number": "717-540-1416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEISLING",
"first_name": "AMY",
"middle_name": "KLEIN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW006858L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03126901",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "KLEIN",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.