Anya Surnitsky, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017160 Issued in PA

Practice address

1025 Easton Rd
Willow Grove, PA 19090-2023

Phone

(267) 209-0795

NPI assigned

May 31, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Anya Goldberg Former name

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Courage Compass Therapy

  • Clinical Social Worker
  • Willow Grove, PA
  • NPI 1437673027
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1306107974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 IVYSTREAM RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190403012",
            "telephone_number": "267-209-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902023",
            "telephone_number": "267-209-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURNITSKY",
        "first_name": "ANYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017160",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "CW017160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANYA",
            "last_name": "GOLDBERG",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eileen M Sturner
• Jeremiah Subramani
• Success America (Professional Ambulance)
• Patricia Ann Sullivan, MD
• Albert James Sungenis, DPT
• Aaron Millard Sutton, LCSW
• Peter Swanljung, MD
• Ewa Szumowska, LPC
• Amelia L a Tabuena, MD
• Jenny Grace Sevilla Tancinco, PT

• Clinical Social Worker in Willow Grove, PA
• Providers in Willow Grove, 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 Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.