Katherine Herminia Zebertavage, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW141833 Issued in PA

Practice address

20 Main St
Denver, PA 17517-1610

Phone

(610) 750-0223

NPI assigned

Jul 31, 2024

Sex

Female

Sole proprietor

No

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.

• Restore Counseling Services LLC

  • Social Worker
  • Denver, PA
  • NPI 1083237325

  Mental Health

  NPD (past)
• Resilient Roots Therapeutic Services, PLLC

  • Clinical Social Worker
  • Lexington, NC
  • NPI 1669298410
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Miss Katherine Herminia Addison Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2024.

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1750110250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195330513",
            "telephone_number": "610-750-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "DENVER",
            "state": "PA",
            "postal_code": "175171610",
            "telephone_number": "610-750-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEBERTAVAGE",
        "first_name": "KATHERINE",
        "middle_name": "HERMINIA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW141833",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW141833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "ADDISON",
            "middle_name": "HERMINIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John F Voler, DMD
• Linda Darlene Welford
• Adam Wentling
• Esther Kaylena Weston, LPC, MA
• Catherine Ann Wisniewski, PHARMD
• Timothy Lee Zimmerman, D.C.

• All providers in Denver, PA
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.