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Deactivated NPI 1457368755 Deactivated / Inactive NPI Female Practitioner

Eileen M Anthony , LCSW

Counselor • Du Bois, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eileen Anthony has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 01, 2006
NPI Deactivation Date November 06, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Eileen Anthony, LCSW was a registered Counselor practicing in Du Bois, PA. Throughout an active medical career spanning 14 years, Eileen Anthony provided care at the practice location at 90 BEAVER DR until profile deactivation on 2020-11-06.

Practice Location & Contact Primary Location

Practice Address

90 Beaver Dr
Suite 210d

Du Bois, PA 158012440

Telephone 8143757107
Fax 8143757105
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Du Bois, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
37 Specialists

Practicing in Du Bois, PA (4037 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License PA CW013871

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1013074152

Doctor of Medicine (M.D.)

Amy Vezza , CRNP

Nurse Practitioner - Adult Health

NPI 1124035456

Certified Registered Nurse Practitioner

Dr. Eric Peck , DO

Family Medicine

NPI 1255347852

Doctor of Osteopathic Medicine (D.O.)

John Mocik , LSW

Social Worker

NPI 1437387628

Licensed Social Worker

Dr. Charles Rice , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1548329220

Doctor of Podiatric Medicine

NPI 1568447969

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 06, 2020

Record deactivated on November 06, 2020

NPI Profile Active December 08, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 08, 2009

Registered at 90 BEAVER DR, SUITE 210D, DU BOIS, PA 158012440 (Tel: 8143757107)

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Updated Business Mailing Address December 08, 2009

Registered at 4147 CHESTNUT GROVE HWY, GRAMPIAN, PA 168389021 (Tel: 8145837179)

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Provider Name / Credentials Updated December 08, 2009

Recorded as EILEEN ANTHONY, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2009

Counselor (License #CW013871 in PA)

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Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457368755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: December 08, 2009
Deactivation Date: November 06, 2020

Mailing Address

4147 Chestnut Grove Hwy

Grampian, PA 168389021

Phone: 8145837179

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.