Michelle Dianne Bookman, MSW LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW009110L Issued in PA

Practice address

6079 Main St
East Petersburg, PA 17520-1267

Phone

(717) 560-1908

Fax

(717) 560-4941

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Dianne Trick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pennsylvania Counseling Services Inc.

  • Counselor
  • Lebanon, PA
  • NPI 1669474979
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952301442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTH 7TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17046",
            "telephone_number": "717-273-1710",
            "fax_number": "717-273-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 MAIN ST",
            "city": "EAST PETERSBURG",
            "state": "PA",
            "postal_code": "175201267",
            "telephone_number": "717-560-1908",
            "fax_number": "717-560-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKMAN",
        "first_name": "MICHELLE",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW  LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW009110L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TRICK",
            "middle_name": "DIANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Titzer Professional Counseling, LLC
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• Christina L Baffuto
• Boas Surgical, Inc.
• Christine Bransby
• Matthew J Brightbill, PHARMD
• Phenix Carlock, OT
• Coral Consylman
• Denise Lynn Darling, MS

• Social Worker in East Petersburg, PA
• Providers in East Petersburg, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.