Individual provider Active NPI

Emily Bertha Zupancic, LCSW

  • Clinical Social Worker
  • Sewickley, PA
National Provider Identifier
1396178372
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017212 Issued in PA
Practice address
123 Deer Valley Dr
Sewickley, PA 15143-9502
Phone
(412) 302-3902
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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 CW017212 PA Primary

Addresses

Primary practice location

123 Deer Valley Dr
Sewickley, PA 15143-9502

Mailing address

123 Deer Valley Dr
Sewickley, PA 15143-9502
Phone (412) 302-3902

Other names 1

  • Emily Bertha Stubna Former name

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
I20140807000355 PA Practitioner - Clinical Social Worker 6002033537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cranberry Psychological Center, Inc.Group PAC ID 3072501626, 45 clinicians

Practice addresses (Care Compare)

100 Northpointe Cir
Suite 306
Seven Fields, PA 16046-7851
Phone (724) 772-4848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cranberry Psychological Center, Inc. Clinical CurrentSince Jun 23, 2014 Accepting new patients

Locations

3402 Washington Rd
Ste 304
McMurray, PA 15317
Phone (724) 772-4848

100 Northpointe Cir
Ste 306
Seven Fields, PA 16046
Phone (724) 772-4848

Organizations & group practices 1

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1396178372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DEER VALLEY DR",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151439502",
            "telephone_number": "412-302-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DEER VALLEY DR",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151439502",
            "telephone_number": "412-302-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUPANCIC",
        "first_name": "EMILY",
        "middle_name": "BERTHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "STUBNA",
            "middle_name": "BERTHA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.