Individual provider Active NPI

Ann Muczynski

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1073774824
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015850 Issued in PA
Practice address
4508 Zuck Rd
Erie, PA 16506-4523
Phone
(814) 833-4853
Fax
(814) 833-0438
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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 CW015850 PA Primary

Addresses

Primary practice location

4508 Zuck Rd
Erie, PA 16506-4523

Mailing address

5100 Peach St
Erie, PA 16509-2482
Phone (814) 866-4506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250922001012 PA Practitioner - Clinical Social Worker 1951805977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Way to Healthy LivingGroup PAC ID 5698197531, 3 clinicians

Practice addresses (Care Compare)

4508 Zuck Rd
Erie, PA 16506-4523
Phone (814) 833-4523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Way to Healthy Living CurrentSince Sep 1, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1073774824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092482",
            "telephone_number": "814-866-4506",
            "fax_number": "814-866-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064523",
            "telephone_number": "814-833-4853",
            "fax_number": "814-833-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCZYNSKI",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.