Individual provider Active NPI

Erika B Brosig, LCSW, CTTS

  • Clinical Social Worker
  • Johnstown, PA
National Provider Identifier
1205199791
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020105 Issued in PA
Practice address
638 Ferndale Ave
Johnstown, PA 15905-3946
Phone
(814) 288-4961
Fax
(814) 288-3904
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 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 CW020105 PA Primary

Addresses

Primary practice location

638 Ferndale Ave
Johnstown, PA 15905-3946

Mailing address

307 Vine St
Johnstown, PA 15901-2906
Phone (814) 288-4961

Other names 1

  • Erika B Jugan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW020105PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1205199791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 VINE ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012906",
            "telephone_number": "814-288-4961",
            "fax_number": "814-809-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 FERNDALE AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053946",
            "telephone_number": "814-288-4961",
            "fax_number": "814-288-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSIG",
        "first_name": "ERIKA",
        "middle_name": "B",
        "credential": "LCSW, CTTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "JUGAN",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.