Individual provider Active NPI

Kristie J Steinbacher, LCSW

  • Clinical Social Worker
  • Mill Hall, PA
National Provider Identifier
1891926267
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016285 Issued in PA
Practice address
7930 Nittany Valley Dr
Mill Hall, PA 17751-8805
Phone
(570) 323-6944
Fax
(570) 323-4529
NPI assigned
Aug 4, 2009
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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 CW016285 PA Primary

Addresses

Primary practice location

7930 Nittany Valley Dr
Mill Hall, PA 17751-8805

Mailing address

320 Highland Dr
PO Box 597
Mountville, PA 17554-1232
Phone (570) 323-6944

Other names 1

  • Kristie S Wade Former name

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
I20090911000567 PA Practitioner - Clinical Social Worker 5890840060 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Services Group IncGroup PAC ID 1052201571, 32 clinicians

Practice addresses (Care Compare)

7930 Nittany Valley Dr
Mill Hall, PA 17551-8805
Phone (570) 323-6944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hanover Family Practice Associates, LLC CurrentSince Aug 5, 2009 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jan 28, 2023 Accepting new patients
Community Services Group, Inc. CurrentSince Oct 31, 2016 Accepting new patients

Locations

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

100 Penn St
Ste D
Hanover, PA 17331
Phone (717) 632-0774

112 Clover Ln
Hanover, PA 17331
Phone (717) 632-4449

7930 Nittany Valley Dr
Mill Hall, PA 17751
Phone (570) 323-6944

320 Highland Dr
Mountville, PA 17554
Phone (717) 285-7121

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

1000 Commerce Park Dr
Ste 110
Williamsport, PA 17701
Phone (570) 323-6944

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1891926267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HIGHLAND DR",
            "address_2": "PO BOX 597",
            "city": "MOUNTVILLE",
            "state": "PA",
            "postal_code": "175541232",
            "telephone_number": "570-323-6944",
            "fax_number": "570-323-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 NITTANY VALLEY DR",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "177518805",
            "telephone_number": "570-323-6944",
            "fax_number": "570-323-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINBACHER",
        "first_name": "KRISTIE",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "WADE",
            "middle_name": "S",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mill Hall, PA

Sources for this page

Verify at the official NPI Registry.