GOOD SAMARITAN PHYSICIAN SERVICES NPI 1861752073

NPI Information

  • NPI: 1861752073
  • Provider Name: GOOD SAMARITAN PHYSICIAN SERVICES
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • Other Name: GOOD SAMARITAN PHYSICIAN SERVICES FAMILY SUPPORT
  • Address: 30 N 4TH ST
    4TH AND WILLOW STREETS
    LEBANON, PA
    ZIP 17046
  • Phone: (717) 274-0474

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NPI Details

GOOD SAMARITAN PHYSICIAN SERVICES is a social worker in Lebanon, PA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. GOOD SAMARITAN PHYSICIAN SERVICES NPI is 1861752073. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Good Samaritan Physician Services Family Support.

The provider's business location address is:

30 N 4TH ST
4TH AND WILLOW STREETS
LEBANON, PA
ZIP 17046-808
Phone: (717) 274-0474
Fax: (717) 274-0673

The provider's authorized official is Jody M Boger .
The authorized official title is Credentialing Coordinator and has the following contact phone number (717) 270-7780.

The enumeration date for this NPI number is 5/22/2012 and was last updated on 11/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001864024MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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