EDEN WILLIS LSW
NPI 1699436071
Social Worker in Lancaster, PA

Q: What is Eden Willis's NPI number?

The NPI number for Eden Willis is 1699436071. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Q: What is Eden Willis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Eden Willis was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 06, 2022PECOS EnrolledAccepts Medicare Assignment

410 N PRINCE ST, LANCASTER, PA 17603(717) 560-7917(717) 560-6452 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Eden Willis Lsw NPPES

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

EDEN WILLIS LSW (NPI 1699436071) is an individual social worker in Lancaster, Pennsylvania, licensed in Pennsylvania (SW138978) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699436071

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameEDEN WILLISCredential: LSW

Location Address410 N PRINCE STLancaster, PA 17603-3010

Mailing Address410 N Prince StLancaster, PA 17603-3010 · (717) 560-7917 · Fax (717) 560-6452

Phone(717) 560-7917

Fax(717) 560-6452

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 6, 2022

NPPES CertifiedJanuary 5, 2022

✔ NPI 1699436071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in PA · SW138978

Definition

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.

410 N PRINCE ST, Lancaster, PA 17603

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eden Willis Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779020276

PECOS Enrollment IDI20240801003063

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.

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.

SIMRIT KAHLON MS, PA-C

Psychiatry & Neurology (Psychiatry)