Individual provider Active NPI

Michelle Marie Brogna, LSW

  • Clinical Social Worker
  • Camp Hill, PA
National Provider Identifier
1295069854
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW013724L Issued in PA
Practice address
3507 Market St
Camp Hill, PA 17011-4310
Phone
(717) 241-2345
Fax
(717) 245-9099
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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 SW013724L PA Primary

Addresses

Primary practice location

3507 Market St
Camp Hill, PA 17011-4310

Mailing address

3201 Spring Rd
Carlisle, PA 17013-8741
Phone (717) 241-2345

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
SW013724LPAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1295069854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SPRING RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170138741",
            "telephone_number": "717-241-2345",
            "fax_number": "171-245-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 MARKET ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114310",
            "telephone_number": "717-241-2345",
            "fax_number": "717-245-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGNA",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW013724L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.