Active NPI
Joanne E Leatherman, LCSW
- Clinical Social Worker
- Lancaster, PA
National Provider Identifier
1962567461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW002073L
- Practice address
- 790 New Holland Ave
Lancaster, PA 17602-2137 - Phone
- (717) 390-0353
- Fax
- (717) 390-1812
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW002073L | PA | Primary |
Addresses
Primary practice location
790 New Holland Ave
Lancaster, PA 17602-2137
Mailing address
320 Highland Dr
Mountville, PA 17554-1232
Phone (717) 285-7121
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 677790H6X | Other | PA | MASONIC HOMES HEALTH CARE |
| 800012760 | Other | PA | HC GROUP RAILROAD MEDICAR |
| 50053206 | Other | PA | CAPITAL BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philhaven | Past | Accepting new patients | |
| Elderly Care Counseling Services LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Group Psychotherapy Psychologist
- Fort Washington, PA
- NPI 1821196999
-
- Psychiatric Hospital
- Lebanon, PA
- NPI 1972598076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1962567461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 HIGHLAND DR",
"city": "MOUNTVILLE",
"state": "PA",
"postal_code": "175541232",
"telephone_number": "717-285-7121",
"fax_number": "717-285-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 NEW HOLLAND AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022137",
"telephone_number": "717-390-0353",
"fax_number": "717-390-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATHERMAN",
"first_name": "JOANNE",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW002073L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASONIC HOMES HEALTH CARE",
"identifier": "677790H6X",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HC GROUP RAILROAD MEDICAR",
"identifier": "800012760",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50053206",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.