Individual provider Active NPI

Gloria Czerpak, LSW

  • Social Worker
  • Ligonier, PA
National Provider Identifier
1215911482
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW009555L Issued in PA
Practice address
117 Juniper LN
Ligonier Valley Learning Center Inc
Ligonier, PA 15658-9727
Phone
(724) 238-5556
Fax
(724) 238-9533
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW009555L PA Primary

Addresses

Primary practice location

117 Juniper LN
Ligonier Valley Learning Center Inc
Ligonier, PA 15658-9727

Mailing address

109 S Market St
Ligonier Valley Learning Center Inc
Ligonier, PA 15658-1214
Phone (724) 238-0355

Other identifiers 1

IdentifierTypeStateIssuer
1001348580007MedicaidPA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW009555LPAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ligonier Valley Learning Center Inc. Past Accepting new patients
Ligonier Valley Learning Center, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215911482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S MARKET ST",
            "address_2": "LIGONIER VALLEY LEARNING CENTER INC",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581214",
            "telephone_number": "724-238-0355",
            "fax_number": "724-238-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 JUNIPER LN",
            "address_2": "LIGONIER VALLEY LEARNING CENTER INC",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156589727",
            "telephone_number": "724-238-5556",
            "fax_number": "724-238-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZERPAK",
        "first_name": "GLORIA",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW009555L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001348580007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ligonier, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.