Active NPI
Susan Kathleen McCune, LCSW
- Clinical Social Worker
- Irwin, PA
National Provider Identifier
1447340542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013218
- Practice address
- 11521 Parkway Dr
Irwin, PA 15642-2053 - Phone
- (724) 864-1693
- Fax
- (724) 864-7978
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW013218 | PA | Primary |
Addresses
Primary practice location
11521 Parkway Dr
Irwin, PA 15642-2053
Mailing address
11521 Parkway Dr
Irwin, PA 15642-2053
Phone (724) 864-1693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 904248 | Other | PA | HIGHMARK BC/BS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130430000105 | PA | Practitioner - Clinical Social Worker | 3870739360 | Practice locations: Trafford, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4257 Pine Hollow Rd
Trafford, PA 15085-9527
Phone (724) 864-7060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW013218 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447340542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11521 PARKWAY DR",
"city": "IRWIN",
"state": "PA",
"postal_code": "156422053",
"telephone_number": "724-864-1693",
"fax_number": "724-864-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11521 PARKWAY DR",
"city": "IRWIN",
"state": "PA",
"postal_code": "156422053",
"telephone_number": "724-864-1693",
"fax_number": "724-864-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUNE",
"first_name": "SUSAN",
"middle_name": "KATHLEEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS",
"identifier": "904248",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irwin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.