Individual provider Active NPI

Art Miron, LCSW

  • Clinical Social Worker
  • Springfield, PA
National Provider Identifier
1205808037
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012935 Issued in PA
Practice address
1489 Baltimore Pike
Suite 250
Springfield, PA 19064-3958
Phone
(610) 544-2110
Fax
(610) 604-9510
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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 CW012935 PA Primary

Addresses

Primary practice location

1489 Baltimore Pike
Suite 250
Springfield, PA 19064-3958

Mailing address

132 W Durham St
Philadelphia, PA 19119-2432
Phone (215) 248-4612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW012935PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1205808037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W DURHAM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192432",
            "telephone_number": "215-248-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 BALTIMORE PIKE",
            "address_2": "SUITE 250",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643958",
            "telephone_number": "610-544-2110",
            "fax_number": "610-604-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRON",
        "first_name": "ART",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.