Individual provider Active NPI

Stephanie J Dobroski, MSW

  • Clinical Social Worker
  • Mt Gretna, PA
National Provider Identifier
1972665115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014231 Issued in PA
Practice address
283 S Butler Rd
Mt Gretna, PA 17064-0550
Phone
(800) 932-0359
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW014231 PA Primary

Addresses

Primary practice location

283 S Butler Rd
Mt Gretna, PA 17064-0550

Mailing address

283 S Butler Rd
Mt Gretna, PA 17064-0550
Phone (800) 932-0359

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
I20101202000128 PA Practitioner - Clinical Social Worker 8729274766 Practice locations: Lebanon, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Cedar St
Lebanon, PA 17042-9776
Phone (717) 599-9044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Counseling Services LLC PastSince Feb 21, 2021 Accepting new patients
Wellspan Medical Group 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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972665115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 S BUTLER RD",
            "city": "MT GRETNA",
            "state": "PA",
            "postal_code": "170640550",
            "telephone_number": "800-932-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 S BUTLER RD",
            "city": "MT GRETNA",
            "state": "PA",
            "postal_code": "170640550",
            "telephone_number": "800-932-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBROSKI",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Gretna, PA

Sources for this page

Verify at the official NPI Registry.