Active NPI
Jennifer Rae Zelewicz, L.C.S.W.
- Clinical Social Worker
- Williamsport, PA
National Provider Identifier
1871521815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015105
- Practice address
- 1012 Washington Blvd Rear
Williamsport, PA 17701 - Phone
- (570) 419-5435
- Fax
- (833) 222-3713
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW015105 | PA | Primary |
Addresses
Primary practice location
1012 Washington Blvd Rear
Williamsport, PA 17701
Mailing address
PO Box 33
Eagles Mere, PA 17731-0033
Phone (570) 419-5435
Other practice location 1
435 W 4th St
Williamsport, PA 17701-6001
Phone (570) 322-7873
Other practice location 2
435 W 4th St
Williamsport, PA 17701-6001
Phone (570) 322-7873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03269001 | Other | PA | CAPITAL BLUE CROSS |
Other names 1
- Miss Jennifer Rae Rider
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1871521815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33",
"city": "EAGLES MERE",
"state": "PA",
"postal_code": "177310033",
"telephone_number": "570-419-5435",
"fax_number": "833-222-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 WASHINGTON BLVD REAR",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "17701",
"telephone_number": "570-419-5435",
"fax_number": "833-222-3713"
}
],
"practiceLocations": [
{
"address_1": "435 W 4th St",
"address_purpose": "LOCATION",
"city": "Williamsport",
"state": "PA",
"postal_code": "177016001",
"country_code": "US",
"telephone_number": "570-322-7873",
"fax_number": "570-322-8026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "435 W 4th St",
"address_purpose": "LOCATION",
"city": "Williamsport",
"state": "PA",
"postal_code": "177016001",
"country_code": "US",
"telephone_number": "570-322-7873",
"fax_number": "570-322-8026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZELEWICZ",
"first_name": "JENNIFER",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW015105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03269001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "RIDER",
"middle_name": "RAE",
"prefix": "MISS",
"credential": "L.C.S.W.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.