Individual provider Active NPI

Jennifer Rick, LCSW

  • Clinical Social Worker
  • Gettysburg, PA
National Provider Identifier
1992177190
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023405 Issued in PA
Practice address
44 Joel LN
Gettysburg, PA 17325-7289
Phone
(717) 316-5242
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW03616 RI
Clinical Social Worker 1041C0700X 12638 CT
Clinical Social Worker 1041C0700X 085460 NY
Clinical Social Worker 1041C0700X CW023405 PA Primary
Clinical Social Worker 1041C0700X 125286 MA

Addresses

Primary practice location

44 Joel LN
Gettysburg, PA 17325-7289

Mailing address

440 Eisenhower Dr # 1051
Hanover, PA 17331-5221

Other names 1

  • Jennifer Ball Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125286MAMDClinical Social Worker
085460NYMDClinical Social Worker
CW023405PAMDClinical Social Worker
ISW03616RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Rick Therapy LLC Clinical CurrentSince Dec 3, 2023 Accepting new patients

Locations

440 Eisenhower Dr
Hanover, PA 17331
Phone (410) 802-4822

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": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1992177190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 EISENHOWER DR # 1051",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 JOEL LN",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257289",
            "telephone_number": "717-316-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICK",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03616",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12638",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085460",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023405",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BALL",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.