Emily Nicole Miknis, LSW
Individual provider Active NPI Social Worker · Apollo, PA
NPI 1437877677 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1437877677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- SW136337 (PA)
- Practice address
- 1127 Pine Run Rd
Apollo, PA 15613-8307 - Phone
- (814) 771-6775
- NPI assigned
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW136337 | PA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW136337 | PA | Yes |
Addresses
Primary practice location
1127 Pine Run Rd
Apollo, PA 15613-8307
Mailing address
1127 Pine Run Rd
Apollo, PA 15613-8307
Phone (814) 771-6775
Other providers in Apollo, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.