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PATRICIA ANN DERSHEM LCSW
NPI 1154424448
Social Worker - Clinical in Avis, PA

Active since September 05, 2006
302 WEST CENTRAL AVENUE, AVIS, PA 17721(570) 753-3620(570) 753-3620 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patricia Ann Dershem Lcsw NPPES

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

PATRICIA ANN DERSHEM LCSW (NPI 1154424448) is an individual clinical provider in Avis, Pennsylvania, licensed in Pennsylvania (CW008439L) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1154424448
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePATRICIA ANN DERSHEMCredential: LCSW
Location Address302 WEST CENTRAL AVENUEAvis, PA 17721-1070
Mailing Address302 West Central AvenueAvis, PA 17721-1070 · (570) 753-3620 · Fax (570) 753-3620
Phone(570) 753-3620
Fax(570) 753-3620
Sole ProprietorYes
Enumeration DateSeptember 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154424448 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 · CW008439L
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.
302 WEST CENTRAL AVENUE, Avis, PA 17721
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Other Identifiers 7

Medicare ID-Type Unspecified083604PA · Medicare
Other062223S68PA · Medicare
Other474483PA · Value Options
Other2117726PA · Cigna
Medicare UPINP67618PA
Other817938PA · First Priority Health
Other1617662PA · Bc/bs Highmark

Other Providers at the Same Location NPPES

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

MS. TAMRA LEE SPRINGMAN M.S., L.P.C.
Counselor (Mental Health)
302 WEST CENTRAL AVENUE
AVIS, PA 17721
Clinton County (570) 753-3620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Dershem's NPI number?

The NPI number for Patricia Dershem is 1154424448. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Patricia Dershem located?

Patricia Dershem practices at 302 West Central Avenue, Avis, PA 17721. The listed phone number is (570) 753-3620.

What is Patricia Dershem's specialty?

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

When was this NPI record last updated?

The NPPES record for Patricia Dershem was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.