Active NPI
Caanen M Churukha, LCSW
- Clinical Social Worker
- Harrisburg, PA
National Provider Identifier
1285117887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW022447
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CW022447 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Cups: Counseling and Consulting | Clinical | Current | Accepting new patients |
| Integrative Counseling Services, PC | Past | 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.
-
- Clinical Social Worker
- Harrisburg, PA
- NPI 1770463887
-
- Professional Counselor
- Scranton, PA
- NPI 1326462599
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.