Ellen S Thacher, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CW013668 Issued in PA

Practice address

10475 Perry Hwy
Town Centre, Ste 300
Wexford, PA 15090-9274

Phone

(724) 759-7500

Fax

(724) 759-7600

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Shelley S Thacher Other name

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Passageways Counseling LLCGroup PAC ID 9234612110, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Passageways Counseling, LLC

  • Clinical Psychologist
  • Wexford, PA
  • NPI 1275159329
  Medicare reassignment Care Compare group
• North Hills Psychological Associates, Inc.

  • Psychologist
  • Wexford, PA
  • NPI 1265606826
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1740290840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 PERRY HWY",
            "address_2": "TOWN CENTRE, STE 300",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909274",
            "telephone_number": "724-759-7500",
            "fax_number": "724-759-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 PERRY HWY",
            "address_2": "TOWN CENTRE, STE 300",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909274",
            "telephone_number": "724-759-7500",
            "fax_number": "724-759-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACHER",
        "first_name": "ELLEN",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW013668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "THACHER",
            "middle_name": "S",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• TD Opere Et Viritate, Inc
• Wendy J Teamann, CRNP
• Paul D Telega, MS,PT,OCS
• Teneral Psychiatry PLLC
• Laura Caroline Voltz Teschke, PT
• Michael WM. Thayer, EDD
• The Center for Fertility & Gynecology Inc
• The Hope Learning Center
• The Hope Learning Center
• The Hope Learning Center, LLC

• Social Worker in Wexford, PA
• Providers in Wexford, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.