Individual provider Active NPI

Andrea Zara, LCSW

  • Clinical Social Worker
  • Hanover Township, PA
National Provider Identifier
1831153253
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016376 Issued in PA
Practice address
5 Pfouts St
Hanover Township, PA 18706-3116
Phone
(570) 829-0795
Fax
(570) 829-2294
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CERT #2035 PA
Clinical Social Worker 1041C0700X CW016376 PA Primary

Addresses

Primary practice location

5 Pfouts St
Hanover Township, PA 18706-3116

Mailing address

5 Pfouts St
Hanover Township, PA 18706-3116
Phone (570) 829-2294

Other identifiers 1

IdentifierTypeStateIssuer
2118778OtherPWCIGNA BEHAVIORL HEALTH

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
I20230206003127 PA Practitioner - Clinical Social Worker 9234501941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Development Services IncGroup PAC ID 5395631469, 5 clinicians

Practice addresses (Care Compare)

5 Pfouts St
Hanover Township, PA 18706-3116
Phone (570) 829-0795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CERT #2035PAMDAddiction (Substance Use Disorder) Counselor
CW016376PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Development Services Inc CurrentSince Jan 1, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1831153253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PFOUTS ST",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187063116",
            "telephone_number": "570-829-2294",
            "fax_number": "570-829-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PFOUTS ST",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187063116",
            "telephone_number": "570-829-0795",
            "fax_number": "570-829-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARA",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "CERT #2035",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORL HEALTH",
            "identifier": "2118778",
            "state": "PW"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Township, PA

Sources for this page

Verify at the official NPI Registry.