Individual provider Active NPI

Irene Muzyka Clifton, LCSW

  • Clinical Social Worker
  • Rochester, PA
National Provider Identifier
1295832459
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012926 Issued in PA
Practice address
176 Virginia Ave
Rochester, PA 15074-1723
Phone
(724) 770-9095
Fax
(724) 770-9096
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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 CW012926 PA Primary

Addresses

Primary practice location

176 Virginia Ave
Rochester, PA 15074-1723

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (724) 770-9095

Other practice location 1

615 E McMurray Rd
McMurray, PA 15317-3497
Phone (724) 942-3996

Other identifiers 1

IdentifierTypeStateIssuer
232883955OtherPATAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090204000041 PA Practitioner - Clinical Social Worker 0648334771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW012926PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Dec 10, 2015 Accepting new patients
Primary Health Network CurrentSince Dec 10, 2015 Accepting new patients

Locations

99 Autumn St
Aliquippa, PA 15001
Phone (724) 375-5754

1302 7th Ave
Beaver Falls, PA 15010
Phone (724) 843-0314

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

529 Lloyd Ave
Latrobe, PA 15650
Phone 7247048886406

176 Virginia Ave
Rochester, PA 15074
Phone (724) 770-9095

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1295832459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "724-770-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 VIRGINIA AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741723",
            "telephone_number": "724-770-9095",
            "fax_number": "724-770-9096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E McMurray Rd",
            "address_purpose": "LOCATION",
            "city": "McMurray",
            "state": "PA",
            "postal_code": "153173497",
            "country_code": "US",
            "telephone_number": "724-942-3996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "IRENE",
        "middle_name": "MUZYKA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "232883955",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, PA

Sources for this page

Verify at the official NPI Registry.