Individual provider Active NPI

Debra K Daniels, LCSW

  • Clinical Social Worker
  • York, PA
National Provider Identifier
1689796351
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020034 Issued in PA
Practice address
160 Roosevelt Ave
York, PA 17401-3378
Phone
(717) 845-2425
Fax
(717) 845-2682
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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 CW020034 PA Primary

Addresses

Primary practice location

160 Roosevelt Ave
York, PA 17401-3378

Mailing address

410 N Prince St
Lancaster, PA 17603-3010
Phone (717) 560-7917

Other identifiers 1

IdentifierTypeStateIssuer
100775933MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address deb.daniels@twponessa.com

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
I20190829001659 PA Practitioner - Clinical Social Worker 7113255118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T.W. Ponessa and Associates Counseling Services, Inc.Group PAC ID 7810991924, 19 clinicians

Practice addresses (Care Compare)

410 N Prince St
Lancaster, PA 17603-3010
Phone (717) 560-7917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW020034PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
T.W. Ponessa & Associates Counseling Services, Inc. CurrentSince Jul 13, 2019 Accepting new patients
T. W. Ponessa and Associates Counseling PastSince Sep 1, 2019 Accepting new patients

Locations

410 N Prince St
Lancaster, PA 17603

2141 Oregon Pike
Lancaster, PA 17601
Phone (717) 617-2706

15 S 9th St
Lebanon, PA 17042
Phone (717) 273-5992

2845 Eastern Blvd
York, PA 17402
Phone (717) 757-3222

160 Roosevelt Ave
York, PA 17401
Phone (717) 845-2425

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1689796351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N PRINCE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033010",
            "telephone_number": "717-560-7917",
            "fax_number": "717-560-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROOSEVELT AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174013378",
            "telephone_number": "717-845-2425",
            "fax_number": "717-845-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "DEBRA",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100775933",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deb.daniels@twponessa.com",
            "affiliation": "N",
            "address_1": "160 Roosevelt Ave",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174013378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.