Organization Active NPI

Cynthia K Hodge LCSW LLC

  • Clinical Social Worker
  • Chambersburg, PA
National Provider Identifier
1891264917
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CYNTHIA K HODGE LCSW LLC
Practice address
375 Floral Ave Ste 111
Chambersburg, PA 17201-3443
Phone
(717) 503-4088
NPI assigned
Nov 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
Cynthia K Hodge, LCSWNPI 1639261076
Title
Owner
Phone
(717) 503-4088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

375 Floral Ave Ste 111
Chambersburg, PA 17201-3443

Mailing address

83 Sunny LN
Chambersburg, PA 17202-4478
Phone (717) 503-4088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190401000210 PA Part B Supplier - Clinic/Group Practice 6002157013 Receives reassigned benefits from 1 practitioner
Practice locations: Chambersburg, PA

National Provider Directory

National Provider Directory

Locations

375 Floral Ave
Ste 111
Chambersburg, PA 17201
Phone (717) 503-4088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1891264917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SUNNY LN",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172024478",
            "telephone_number": "717-503-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 FLORAL AVE STE 111",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013443",
            "telephone_number": "717-503-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA K HODGE LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-503-4088",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.