Kathleen M Marusa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015216 Issued in PA

Practice address

647 Philadelphia St
Midtown Building - Suite 403
Indiana, PA 15701-3923

Phone

(724) 541-1968

NPI assigned

Dec 17, 2005

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 names 1

• Kathleen M Stancombe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Umas Family Resource Center

  • Psychiatry Physician
  • Windber, PA
  • NPI 1770141905

  Clinical

  NPD (past)

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

{
    "created_epoch": "1134777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1265418685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012053",
            "telephone_number": "724-541-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 PHILADELPHIA ST",
            "address_2": "MIDTOWN BUILDING - SUITE 403",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013923",
            "telephone_number": "724-541-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUSA",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-17",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "STANCOMBE",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marko Family Dentistry
• Joseph E Marko Jr., D.M.D.
• Janelle Kisiday Marshall, AU.D,
• Shawna M. Marshall, PA-C
• Holly M Marusa, M ED.
• Eric Massof
• Alyssa Matalik
• Nicholas Jacob Matalik
• Allison Laurel Matava, CRNP
• Nicole Lee Ann Matko, BA

• Clinical Social Worker in Indiana, PA
• Providers in Indiana, 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 27, 2014; 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.