Individual provider Active NPI

Casey M Wesdock, LCSW

  • Clinical Social Worker
  • Clearfield, PA
National Provider Identifier
1891074126
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019402 Issued in PA
Practice address
26 S 2ND St Ste 101
Clearfield, PA 16830-2346
Phone
(814) 496-5790
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X CW019402 PA Primary

Addresses

Primary practice location

26 S 2ND St Ste 101
Clearfield, PA 16830-2346

Mailing address

428 Ogden Ave
Clearfield, PA 16830-2144
Phone (814) 496-5790

Other practice location 1

1937 Daisy Street Ext
Clearfield, PA 16830-3225
Phone (814) 765-1045

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
I20170324000253 PA Practitioner - Clinical Social Worker 3375828866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Chestnut Ave
Altoona, PA 16601-4926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Healthcare Network CurrentSince Feb 1, 2021 Accepting new patients
Caring Healthcare Network CurrentSince Feb 1, 2021 Accepting new patients
Caring Healthcare Network Current Accepting new patients
Sage Counseling Services LLC Clinical PastSince Mar 1, 2017 Accepting new patients

Locations

100 Chestnut Ave
Altoona, PA 16601
Phone (814) 201-5266

18 N Front St
Philipsburg, PA 16866
Phone (814) 201-5266

601 N Front St
Philipsburg, PA 16866
Phone (814) 342-2333

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

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.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891074126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 OGDEN AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302144",
            "telephone_number": "814-496-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S 2ND ST STE 101",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302346",
            "telephone_number": "814-496-5790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1937 Daisy Street Ext",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "PA",
            "postal_code": "168303225",
            "country_code": "US",
            "telephone_number": "814-765-1045",
            "fax_number": "814-765-8489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESDOCK",
        "first_name": "CASEY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.