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JESSE R NORTHRIDGE LCSW
NPI 1265948079
Social Worker - Clinical in Hershey, PA

Active since December 18, 2017PECOS Enrolled
22 NORTHEAST DR, HERSHEY, PA 17033(717) 531-8338(717) 531-6250 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2020, Dec 18, 2017 (2 updates tracked since 2017).

About Jesse R Northridge Lcsw NPPES

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

JESSE R NORTHRIDGE LCSW (NPI 1265948079) is an individual clinical provider in Hershey, Pennsylvania, licensed in Pennsylvania (CW021046) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265948079
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJESSE R NORTHRIDGECredential: LCSW
Location Address22 NORTHEAST DRHershey, PA 17033-2732
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Phone(717) 531-8338
Fax(717) 531-6250
Sole ProprietorNo
Enumeration DateDecember 18, 2017
Last NPPES UpdateFebruary 7, 20202 updates tracked since enumeration
✔ NPI 1265948079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW021046
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.
Also ListedSocial WorkerTaxonomy 104100000X · License SW134804 (PA)
22 NORTHEAST DR, Hershey, PA 17033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse R 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)
22 NORTHEAST DR
HERSHEY, PA 17033
Dauphin County (717) 531-8338
TIMOTHY SOISSON LSW
Social Worker
22 NORTHEAST DR
HERSHEY, PA 17033
Dauphin County (717) 531-8338
LINDA REAGGS RN
Registered Nurse (Psychiatric/Mental Health)
22 NORTHEAST DR
HERSHEY, PA 17033
Dauphin County (717) 531-8338
JACLYN SUZANNE NORTHRIDGE LCSW
Social Worker (Clinical)
22 NORTHEAST DR
HERSHEY, PA 17033
Dauphin County (717) 531-8338
SCOTT S BUNCE PHD.
Psychologist
22 NORTHEAST DR
HERSHEY, PA 17033
Dauphin County (717) 531-8338
VERONICA MIA JUSINO LPC, CAADC
Counselor (Professional)
22 NORTHEAST DR
HERSHEY, PA 17033
Dauphin County (717) 531-8338
MARCI J HOUCK LCSW
Social Worker (Clinical)
22 NORTHEAST DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455
ANDREA LAYTON
Behavior Analyst
22 NORTHEAST DR
HERSHEY, PA 17033
Dauphin County (717) 531-8338

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 Jesse Northridge's NPI number?

The NPI number for Jesse Northridge is 1265948079. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Jesse Northridge located?

Jesse Northridge practices at 22 Northeast Dr, Hershey, PA 17033. The listed phone number is (717) 531-8338.

What is Jesse Northridge's specialty?

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

Is Jesse Northridge enrolled in Medicare?

Yes. Jesse Northridge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Northridge was last updated on February 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.