Individual provider Active NPI

Jordan Philip Lefler, LSW

  • Social Worker
  • Clearfield, PA
National Provider Identifier
1790327716
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW136563 Issued in PA
Practice address
850 Leonard St
Clearfield, PA 16830-3200
Phone
(814) 205-4004
NPI assigned
Oct 10, 2019
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X SW136563 PA Primary

Addresses

Primary practice location

850 Leonard St
Clearfield, PA 16830-3200

Mailing address

5139 Wayne Rd
Du Bois, PA 15801-5775
Phone (814) 590-8414

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
I20240122003896 PA Practitioner - Clinical Social Worker 2860844172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickinson Center, IncGroup PAC ID 3870489131, 11 clinicians

Practice addresses (Care Compare)

43 Servidea Dr
Ridgway, PA 15853-6333
Phone (814) 766-2145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW136563PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson Center, Inc Multi-Specialty CurrentSince Jan 10, 2024 Accepting new patients

Locations

1001 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7407

43 Servidea Dr
Ridgway, PA 15853
Phone (814) 776-0225

808 S Michael St
Saint Marys, PA 15857
Phone (814) 834-9722

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1790327716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 WAYNE RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158015775",
            "telephone_number": "814-590-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 LEONARD ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303200",
            "telephone_number": "814-205-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFLER",
        "first_name": "JORDAN",
        "middle_name": "PHILIP",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW136563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.