Individual provider Active NPI

Cynthia Zolner, LCSW

  • Clinical Social Worker
  • Kingston, PA
National Provider Identifier
1053427641
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012062 Issued in PA
Practice address
64 S Loveland Ave
Kingston, PA 18704-4545
Phone
(570) 885-4950
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW012062 PA Primary

Addresses

Primary practice location

64 S Loveland Ave
Kingston, PA 18704-4545

Mailing address

64 S Loveland Ave
Kingston, PA 18704-4545
Phone (570) 885-4950

Other practice location 1

2409 Oxford Ave
Cardiff, CA 92007-2130
Phone (570) 885-4950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061130000392 PA Practitioner - Clinical Social Worker 7911905815 Practice locations: Kingston, PA
I20221222000942 CA Practitioner - Clinical Social Worker 7911905815 Practice locations: Capistrano Beach, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW012062PAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1053427641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 S LOVELAND AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044545",
            "telephone_number": "570-885-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 S LOVELAND AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044545",
            "telephone_number": "570-885-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2409 Oxford Ave",
            "address_purpose": "LOCATION",
            "city": "Cardiff",
            "state": "CA",
            "postal_code": "920072130",
            "country_code": "US",
            "telephone_number": "570-885-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLNER",
        "first_name": "CYNTHIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.