Individual provider Active NPI

Kira Markoff, PHD, LCSWC

  • Clinical Social Worker
  • Chambersburg, PA
National Provider Identifier
1891424776
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25286 Issued in MD
Practice address
650 Harrison Dr
Chambersburg, PA 17201-8719
Phone
(240) 347-0929
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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 25286 MD Primary

Addresses

Primary practice location

650 Harrison Dr
Chambersburg, PA 17201-8719

Mailing address

650 Harrison Dr
Chambersburg, PA 17201-8719
Phone (240) 347-0929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA3 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221004003444 MD Practitioner - Clinical Social Worker 9830575463 Reassigns benefits to 1 organization
I20231108003189 DC Practitioner - Clinical Social Worker 9830575463 Reassigns benefits to 1 organization
I20231220003950 PA Practitioner - Clinical Social Worker 9830575463 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Tidemark Intervention Services CurrentSince Sep 1, 2022 Accepting new patients
Tidemark Intervention Services Clinical CurrentSince Sep 1, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 5, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

7822 Eastern Ave
Baltimore, MD 21224
Phone (443) 596-8178

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1891424776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HARRISON DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172018719",
            "telephone_number": "240-347-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HARRISON DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172018719",
            "telephone_number": "240-347-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOFF",
        "first_name": "KIRA",
        "credential": "PHD, LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.