Individual provider Active NPI

Caanen M Churukha, LCSW

  • Clinical Social Worker
  • Harrisburg, PA
National Provider Identifier
1285117887
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022447 Issued in PA
Practice address
2643 N 3Rd St Ste 2-302
Harrisburg, PA 17110-2048
Phone
(717) 557-9119
NPI assigned
Sep 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 CW022447 PA Primary

Addresses

Primary practice location

2643 N 3Rd St Ste 2-302
Harrisburg, PA 17110-2048

Mailing address

134 Robin LN Apt O4
Hummelstown, PA 17036-8239
Phone (717) 524-8165

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
CW022447PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Four Cups: Counseling and Consulting Clinical CurrentSince Sep 14, 2025 Accepting new patients
Integrative Counseling Services, PC PastSince Jan 1, 2024 Accepting new patients

Locations

2643 N 3rd St
Ste 2302
Harrisburg, PA 17110
Phone (717) 551-9119

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1285117887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ROBIN LN APT O4",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368239",
            "telephone_number": "717-524-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 N 3RD ST STE 2-302",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102048",
            "telephone_number": "717-557-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURUKHA",
        "first_name": "CAANEN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.