Jennifer Lynn Fosbrink, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017204 Issued in PA

Practice address

416 S Pittsburgh St
Connellsville, PA 15425-4003

Phone

(724) 626-8420

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connellsville Counseling and Psychological Services, LLCGroup PAC ID 3274792536, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Connellsville Counseling & Psychological Services, LLC

  • Community/Behavioral Health Agency
  • Connellsville, PA
  • NPI 1275844789
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1851653380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S PITTSBURGH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154254003",
            "telephone_number": "724-626-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S PITTSBURGH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154254003",
            "telephone_number": "724-626-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSBRINK",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya Fetty, MS
• James Sullivan Fiesta, LCSW
• Christie Marie Fike, LBS, BCBA
• Christina Fletcher, BS
• Kelly Ann Forish
• Chase Alan Frankhouser, PHARMD, RPH
• Kathryn Franklin
• Tiffany Dawn French, CRNP
• Michael Friend Jr.
• Taylor Froetschel, LBC

• Clinical Social Worker in Connellsville, PA
• Providers in Connellsville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.