Individual provider Active NPI

April Hope Mandeville-Palm, MSW, LCSW

  • Clinical Social Worker
  • Lebanon, PA
National Provider Identifier
1861702201
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018629 Issued in PA
Practice address
964 Isabel Dr
Lebanon, PA 17042-7482
Phone
(717) 274-9777
Fax
(717) 274-9815
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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 CW018629 PA Primary

Addresses

Primary practice location

964 Isabel Dr
Lebanon, PA 17042-7482

Mailing address

785 5TH Ave
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other identifiers 3

IdentifierTypeStateIssuer
103424379MedicaidPA
CW018629OtherPASTATE LICENSE
12174849OtherCAQH

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
I20150825004147 PA Practitioner - Clinical Social Worker 9335455187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PhilhavenGroup PAC ID 8729991419, 93 clinicians

Practice addresses (Care Compare)

964 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 274-9777

Hospital & facility affiliations

  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW018629PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Philhaven CurrentSince Mar 29, 2021 Accepting new patients
Phoenix Counseling Services, LLC CurrentSince Oct 2, 2018 Accepting new patients
Philhaven CurrentSince Mar 29, 2021 Accepting new patients
T.W. Ponessa & Associates Counseling Services, Inc. CurrentSince Jun 23, 2015 Accepting new patients
Parenting & Family Solutions Past Accepting new patients

Locations

2311 Fairfield Rd
Ste F
Gettysburg, PA 17325
Phone (717) 398-2044

2501 Oregon Pike
Ste 113
Lancaster, PA 17601
Phone (717) 735-1954

410 N Prince St
Lancaster, PA 17603

964 Isabel Dr
Lebanon, PA 17042
Phone (717) 274-9777

15 S 9th St
Lebanon, PA 17042
Phone (717) 273-5992

204 Hathaway Park
Lebanon, PA 17042
Phone (717) 274-9777

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1861702201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 ISABEL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427482",
            "telephone_number": "717-274-9777",
            "fax_number": "717-274-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEVILLE-PALM",
        "first_name": "APRIL",
        "middle_name": "HOPE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103424379",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CW018629",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12174849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.