Miriam Hartley LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017835 Issued in PA

Legal business name

MIRIAM HARTLEY LCSW, LLC

Practice address

1124 Twin Stacks Dr
Dallas, PA 18612-8505

Phone

(570) 674-1155

Fax

(570) 674-1156

NPI assigned

Feb 22, 2016

Last updated

Feb 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miriam Inez Hartley, MSW, LCSWNPI 1588948467

Title

LCSW/Owner

Phone

(570) 674-1155

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miriam Inez Hartley, MSW/LCSW

  • Clinical Social Worker
  • Dallas, PA
  • NPI 1588948467
  NPD (past) Authorized official

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1184083834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 TWIN STACKS DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186128505",
            "telephone_number": "570-674-1155",
            "fax_number": "570-674-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 TWIN STACKS DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186128505",
            "telephone_number": "570-674-1155",
            "fax_number": "570-674-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM HARTLEY LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "570-674-1155",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Ann Menzel, PT
• Mercy Center Nursing Unit
• Elise Mester, MD
• Bryce Metz, PA-C
• Millville Leasing Partnership (Lakeside Nursing Center)
• Misericordia University
• Misericordia University Speech-Language and Hearing Center
• Mobile Therapy Services LLC
• David Hunkele Moore, MD
• Amanda Moran, CRNP

• Clinical Social Worker in Dallas, PA
• Providers in Dallas, 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 Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.