Zebulin Jacob Bryner, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW134757 Issued in PA

Practice address

8638 Route 104 Ste 10
Mount Pleasant Mills, PA 17853-8753

Phone

(717) 856-0220

NPI assigned

Mar 23, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cen Clear Child Services IncGroup PAC ID 9436258860, 38 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cen Clear Child Services, Inc.

  • Mental Health Counselor
  • Philipsburg, PA
  • NPI 1841289733
  Medicare reassignment Care Compare group NPD
• Two Trails Mental Health and Wellness Center, LLC

  dba Dr. Danielle M. Mink

  • Psychologist
  • Mt Pleasant Mills, PA
  • NPI 1376902486
  NPD (past)

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346549870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8638 ROUTE 104",
            "address_2": "SUITE 10",
            "city": "MOUNT PLEASANT MILLA",
            "state": "PA",
            "postal_code": "17853",
            "telephone_number": "717-856-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8638 ROUTE 104 STE 10",
            "city": "MOUNT PLEASANT MILLS",
            "state": "PA",
            "postal_code": "178538753",
            "telephone_number": "717-856-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Progress Ave",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171094638",
            "country_code": "US",
            "telephone_number": "717-526-4889",
            "fax_number": "717-671-9149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYNER",
        "first_name": "ZEBULIN",
        "middle_name": "JACOB",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW134757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Kay Bryner, LSW
• Tammi Ann Burns, PA-C
• Tracy Anne Ericson, LCSW
• Fremont Fire Department
• Nicole Lavertue, PSY.D.
• Teresa Michele Longacre, PTA

• Social Worker in Mt Pleasant Mills, PA
• Providers in Mt Pleasant Mills, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.