Individual provider Active NPI

Elaine P Higdon, LCSW

  • Clinical Social Worker
  • Bellefonte, PA
National Provider Identifier
1811927684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012416 Issued in PA
Practice address
206 W High St
Bellefonte, PA 16823-1302
Phone
(814) 353-3151
Fax
(814) 353-1876
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW012416 PA Primary

Addresses

Primary practice location

206 W High St
Bellefonte, PA 16823-1302

Mailing address

206 W High St
Bellefonte, PA 16823-1302
Phone (814) 353-3151

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
I20041005000403 PA Practitioner - Clinical Social Worker 5597724757 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
Telehealth
Offers telehealth services
Group practices
Susquehanna Valley Professional Associates, IncGroup PAC ID 5395648745, 12 clinicians

Practice addresses (Care Compare)

320 Rolling Ridge Dr
State College, PA 16801-7641
Phone (814) 867-0670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Valley Professional Associates, Inc CurrentSince Aug 3, 2011 Accepting new patients
Universal Community Behavioral Health Inc Past Accepting new patients

Locations

320 Rolling Ridge Dr
Ste 100
State College, PA 16801
Phone (814) 867-0670

Organizations & group practices 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811927684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W HIGH ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231302",
            "telephone_number": "814-353-3151",
            "fax_number": "814-353-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W HIGH ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231302",
            "telephone_number": "814-353-3151",
            "fax_number": "814-353-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGDON",
        "first_name": "ELAINE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

Verify at the official NPI Registry.