JACLYN SUZANNE NORTHRIDGE LCSW
NPI 1114594249
Social Worker - Clinical in Hershey, PA

Q: What is Jaclyn Northridge's NPI number?

The NPI number for Jaclyn Northridge is 1114594249. It was assigned to this individual provider in the NPPES registry on June 8, 2021. The provider is also known as Jaclyn Suzanne Berrios Lcsw.

Q: What is Jaclyn Northridge's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Northridge was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2021PECOS Enrolled

22 NORTHEAST DR, HERSHEY, PA 17033(717) 531-8338 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2024, Jun 24, 2024, Jun 8, 2021 (3 updates tracked since 2021).

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About Jaclyn Suzanne Northridge Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN SUZANNE NORTHRIDGE LCSW (NPI 1114594249) is an individual clinical provider in Hershey, Pennsylvania, licensed in Pennsylvania (CW024163) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1114594249

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJACLYN SUZANNE NORTHRIDGECredential: LCSW

Location Address22 NORTHEAST DRHershey, PA 17033-2732

Mailing Address500 University Dr Mc Ca410Hershey, PA 17033-2360 · (717) 531-1159 · Fax (717) 531-0119

Phone(717) 531-8338

Sole ProprietorNo

Enumeration DateJune 8, 2021

Last NPPES UpdateJuly 22, 20243 updates tracked since enumeration

NPPES CertifiedJuly 22, 2024

✔ NPI 1114594249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in PA · CW024163

Definition

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.

22 NORTHEAST DR, Hershey, PA 17033

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Other Names 1

Former Name (1)Jaclyn Suzanne Berrios Lcsw

Secondary Practice Location 1

Location 1500 University DrHershey, PA 17033-2360 · Phone (717) 531-8338 · Fax (717) 531-6250

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Suzanne Northridge Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.64 – $166.87

Typical copayment $0.00 (range $13.66 – $41.71)

Most-billed visit code NA

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN LYNN CALHOUN PHD

Psychologist (Clinical)