Individual provider Active NPI

Susan Diane Bridge, LCSW

  • Clinical Social Worker
  • Punxsutawney, PA
National Provider Identifier
1316051428
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015402 Issued in PA
Practice address
240 W Mahoning St
Punxsutawney, PA 15767-1919
Phone
(814) 938-1830
Fax
(814) 939-1982
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW015402 PA Primary
Social Worker 104100000X CW015402 PA

Addresses

Primary practice location

240 W Mahoning St
Punxsutawney, PA 15767-1919

Mailing address

240 W Mahoning St
Punxsutawney, PA 15767-1919
Phone (814) 938-1830

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
I20061114000527 PA Practitioner - Clinical Social Worker 7214935808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

240 W Mahoning St
Punxsutawney Physician Group
Punxsutawney, PA 15767-1919
Phone (814) 938-1830

875 Hospital Rd
Irmc Physician Group
Indiana, PA 15701-3629
Phone (724) 347-7493

879 Hospital Rd
Indiana, PA 15701-3629
Phone (888) 452-4762

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015402PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Healthcare Physician Services Inc CurrentSince Apr 1, 2022 Accepting new patients
Punxsutawney Area Hospital Inc CurrentSince Oct 29, 2006 Accepting new patients
Indiana Healthcare Physician Services, Inc CurrentSince Apr 1, 2022 Accepting new patients
Punxsutawney Area Hospital Inc CurrentSince Oct 29, 2006 Accepting new patients

Locations

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

81 Hillcrest Dr
Ste 1200
Punxsutawney, PA 15767
Phone (814) 938-1830

240 W Mahoning St
Punxsutawney, PA 15767
Phone (814) 938-1830

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

Organizations & group practices 4

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1316051428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W MAHONING ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671919",
            "telephone_number": "814-938-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W MAHONING ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671919",
            "telephone_number": "814-938-1830",
            "fax_number": "814-939-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGE",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015402",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW015402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

Verify at the official NPI Registry.