INNOVATIVE THERAPY SERVICES LLC NPI 1982043394

NPI Information

  • NPI: 1982043394
  • Provider Name: INNOVATIVE THERAPY SERVICES, LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 3939 W RIDGE RD
    SUITE B-45
    ERIE, PA
    ZIP 16506
  • Phone: (814) 240-1011

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NPI Details

INNOVATIVE THERAPY SERVICES, LLC is a clinical social worker in Erie, PA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. INNOVATIVE THERAPY SERVICES, LLC NPI is 1982043394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3939 W RIDGE RD
SUITE B-45
ERIE, PA
ZIP 16506-879
Phone: (814) 240-1011
Fax: (814) 240-1048

The provider's authorized official is Shana Lynn Bennett .
The authorized official title is Partner and has the following contact phone number (814) 240-1011.

The enumeration date for this NPI number is 6/19/2013 and was last updated on 2/16/2015.

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
1101YP2500XCounselorProfessionalPC005212PENNSYLVANIANo
21041C0700XSocial WorkerClinicalCW016017PENNSYLVANIAYes

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
1319032MEDICARE PINPENNSYLVANIA

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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