Individual provider Active NPI

Dianne Emory Elsom, LCSW

  • Clinical Social Worker
  • Chambersburg, PA
National Provider Identifier
1902826332
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015390 Issued in PA
Practice address
2312 Scotland Rd
Suite 4
Chambersburg, PA 17201-7960
Phone
(717) 267-2081
Fax
(717) 267-2740
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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 CW015390 PA Primary

Addresses

Primary practice location

2312 Scotland Rd
Suite 4
Chambersburg, PA 17201-7960

Mailing address

2312 Scotland Rd
Suite 4
Chambersburg, PA 17201-7960
Phone (717) 267-2081

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
I20061113000067 PA Practitioner - Clinical Social Worker 0648278325 Practice locations: Chambersburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2312 Scotland Rd
Suite 4
Chambersburg, PA 17201-7960
Phone (717) 267-2081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015390PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1902826332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 SCOTLAND RD",
            "address_2": "SUITE 4",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017960",
            "telephone_number": "717-267-2081",
            "fax_number": "717-267-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 SCOTLAND RD",
            "address_2": "SUITE 4",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017960",
            "telephone_number": "717-267-2081",
            "fax_number": "717-267-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSOM",
        "first_name": "DIANNE",
        "middle_name": "EMORY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.