Individual provider Active NPI

Drew Robert Himes, LCSW, CAADC

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1851062319
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022737 Issued in PA
Practice address
1932 W 8TH St
Erie, PA 16505-4937
Phone
(814) 455-4009
NPI assigned
Sep 24, 2021
Last updated
May 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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 17086 PA
Clinical Social Worker 1041C0700X CW022737 PA Primary

Addresses

Primary practice location

1932 W 8TH St
Erie, PA 16505-4937

Mailing address

1932 W 8TH St
Erie, PA 16505-4937
Phone (814) 455-4009

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
I20220602000152 PA Practitioner - Clinical Social Worker 9739567850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Erie Counseling IncGroup PAC ID 3274571336, 2 clinicians

Practice addresses (Care Compare)

1932 W 8TH St
Erie, PA 16505-4937
Phone (814) 455-4009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17086PAMDAddiction (Substance Use Disorder) Counselor
CW022737PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Erie Counseling Inc Clinical CurrentSince May 17, 2022 Accepting new patients

Locations

1932 W 8th St
Erie, PA 16505
Phone (814) 455-4009

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1851062319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054937",
            "telephone_number": "814-455-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054937",
            "telephone_number": "814-455-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMES",
        "first_name": "DREW",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-24",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "17086",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.