Embark Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMBARK THERAPY, LLC

Practice address

1100 Highway 315 Blvd
Wilkes Barre, PA 18702-6943

Phone

(570) 630-7898

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Jenny Shroyer, LCSWNPI 1811425200

Title

Owner

Phone

(570) 630-7898

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenny Shroyer, LSW

  • Clinical Social Worker
  • Danville, PA
  • NPI 1811425200
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1801657366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MUTCHLER RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178217809",
            "telephone_number": "570-630-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 315 BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026943",
            "telephone_number": "570-630-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBARK THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "SHROYER",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-630-7898",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jaime B Elston, LSW
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• Clinical Social Worker in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.