Active NPI
Tamantha Carrie Drexel, LSW
- Social Worker
- Lebanon, PA
National Provider Identifier
1821754771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW138830
- Practice address
- 15 S 9TH St
Lebanon, PA 17042-5104 - Phone
- (717) 273-5992
- Fax
- (717) 273-5995
- NPI assigned
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW138830 | PA | Primary |
Addresses
Primary practice location
15 S 9TH St
Lebanon, PA 17042-5104
Mailing address
410 N Prince St
Lancaster, PA 17603-3010
Phone (717) 560-7917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW138830 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T. W. Ponessa and Associates Counseling | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lancaster, PA
- NPI 1881144004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1821754771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N PRINCE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176033010",
"telephone_number": "717-560-7917",
"fax_number": "717-560-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 S 9TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425104",
"telephone_number": "717-273-5992",
"fax_number": "717-273-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREXEL",
"first_name": "TAMANTHA",
"middle_name": "CARRIE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW138830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.