Individual provider Active NPI

Dana Crocker

  • Clinical Social Worker
  • Transfer, PA
National Provider Identifier
1891389938
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023141 Issued in PA
Practice address
225 Edgewood Drive Ext
Transfer, PA 16154-1817
Phone
(724) 962-3553
Fax
(724) 962-3630
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X CW023141 PA Primary

Addresses

Primary practice location

225 Edgewood Drive Ext
Transfer, PA 16154-1817

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (724) 962-3553

Other practice location 1

2201 E State St
Hermitage, PA 16148-2727
Phone (724) 981-7141 ext. 124

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
I20230412002783 PA Practitioner - Clinical Social Worker 5395110969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, 64 clinicians

Practice addresses (Care Compare)

225 Edgewood Dr Ext
Transfer, PA 16154-1817
Phone (724) 962-3553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW023141PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Mar 30, 2023 Accepting new patients
Primary Health Network CurrentSince Mar 30, 2023 Accepting new patients

Locations

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

348 Main St
Greenville, PA 16125
Phone (724) 588-5250

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

225 Edgewood Drive Ext
Transfer, PA 16154
Phone (724) 962-3553

Organizations & group practices 2

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1891389938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "724-962-3553",
            "fax_number": "724-962-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EDGEWOOD DRIVE EXT",
            "city": "TRANSFER",
            "state": "PA",
            "postal_code": "161541817",
            "telephone_number": "724-962-3553",
            "fax_number": "724-962-3630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 E State St",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161482727",
            "country_code": "US",
            "telephone_number": "724-981-7141 x124",
            "fax_number": "724-418-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Transfer, PA

Sources for this page

Verify at the official NPI Registry.