Individual provider Active NPI

Jared Lueddeke

  • Clinical Social Worker
  • Lancaster, PA
National Provider Identifier
1831786383
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026164 Issued in PA
Practice address
1755 Oregon Pike Ste 200
Lancaster, PA 17601-4272
Phone
(717) 581-5255
NPI assigned
Dec 30, 2020
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 CW026164 PA Primary

Addresses

Primary practice location

1755 Oregon Pike Ste 200
Lancaster, PA 17601-4272

Mailing address

40 Dilworth Road
Millersville, PA 17551

Other practice location 1

37 W Frederick St
Millersville, PA 17551-1909
Phone (717) 871-4636

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
I20250829003414 PA Practitioner - Clinical Social Worker 0749781862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Healthcare Consultants, P.C.Group PAC ID 7618030677, 17 clinicians

Practice addresses (Care Compare)

1755 Oregon Pike
Suite 200
Lancaster, PA 17601-4272
Phone (717) 581-5255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW026164PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Consultants, P.C. Clinical CurrentSince Aug 11, 2025 Accepting new patients

Locations

1755 Oregon Pike
Ste 200
Lancaster, PA 17601
Phone (717) 581-5255

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": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1831786383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DILWORTH ROAD",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "17551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 OREGON PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014272",
            "telephone_number": "717-581-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 W Frederick St",
            "address_purpose": "LOCATION",
            "city": "Millersville",
            "state": "PA",
            "postal_code": "175511909",
            "country_code": "US",
            "telephone_number": "717-871-4636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUEDDEKE",
        "first_name": "JARED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.