Nicole Darosh

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023369 Issued in PA

Practice address

1021 Centre Tpke
Orwigsburg, PA 17961-9192

Phone

(844) 696-4631

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Mind Matters Coaching, Counseling, & Psychological Associates LLC

  • Psychologist
  • Reading, PA
  • NPI 1295187425

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1174225684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 GRAEFF ST",
            "city": "CRESSONA",
            "state": "PA",
            "postal_code": "179291501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 CENTRE TPKE",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179619192",
            "telephone_number": "844-696-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAROSH",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "CW023369",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Adam Cohen, M.D.
• Rachel Coller
• Alexandra Conforti
• Kimberly Ann Cryts, PT
• Benjamin P. Darhun, M.D.
• Jonathan R Day, PSYD
• Emily Deatrick, OTR/L
• Amanda Dietz
• Calogero Dimaggio, DO
• Donald Durand Diverio Jr., D.O.

• Clinical Social Worker in Orwigsburg, PA
• Providers in Orwigsburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.