Individual provider Active NPI

Kathryn Eschbach, LCSW

  • Clinical Social Worker
  • Hanover TWP, PA
National Provider Identifier
1700991817
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013217 Issued in PA
Practice address
5 Pfouts St
Hanover TWP, PA 18706-3116
Phone
(570) 829-0795
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 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 CW013217 PA Primary

Addresses

Primary practice location

5 Pfouts St
Hanover TWP, PA 18706-3116

Mailing address

324 Ash Rd
Northampton, PA 18067-9108
Phone (610) 261-4192

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
I20040719000055 PA Practitioner - Clinical Social Worker 6103805692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Development Services IncGroup PAC ID 5395631469, 5 clinicians

Practice addresses (Care Compare)

5 Pfouts St
Hanover Township, PA 18706-3116
Phone (570) 829-0795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013217PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Development Services Inc CurrentSince Oct 1, 2009 Accepting new patients
Senior Behavioral Healthcare Group Inc Past Accepting new patients
Senior Behavioral Healthcare Group, Inc Past Accepting new patients
Community Services Group, Inc. PastSince Oct 1, 2002 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1700991817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 ASH RD",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180679108",
            "telephone_number": "610-261-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PFOUTS ST",
            "city": "HANOVER TWP",
            "state": "PA",
            "postal_code": "187063116",
            "telephone_number": "570-829-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHBACH",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover TWP, PA

Sources for this page

Verify at the official NPI Registry.