Individual provider Active NPI

Lisa Ann Rodeheaver, LCSW

  • Clinical Social Worker
  • Gettysburg, PA
National Provider Identifier
1902240997
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017621 Issued in PA
Practice address
18 Carlisle St Ste 212
Gettysburg, PA 17325-1823
Phone
(717) 473-9131
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 CW017621 PA Primary

Addresses

Primary practice location

18 Carlisle St Ste 212
Gettysburg, PA 17325-1823

Mailing address

18 Carlisle St Ste 212
Gettysburg, PA 17325-1823
Phone (717) 473-9131

Other identifiers 1

IdentifierTypeStateIssuer
103422893MedicaidPA

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
I20131212000612 PA Practitioner - Clinical Social Worker 1951538271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Carlisle St
Suite 212
Gettysburg, PA 17325-1823
Phone (717) 473-9131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017621PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Verity Counseling, LLC Clinical CurrentSince Sep 28, 2020 Accepting new patients

Locations

18 Carlisle St
Ste 212
Gettysburg, PA 17325
Phone (717) 473-9131

Organizations & group practices 1

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1902240997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CARLISLE ST STE 212",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173251823",
            "telephone_number": "717-473-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CARLISLE ST STE 212",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173251823",
            "telephone_number": "717-473-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEHEAVER",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103422893",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.