Individual provider Active NPI

Jolene Meisner, LCSW

  • Clinical Social Worker
  • Mansfield, PA
National Provider Identifier
1457987398
Registry record updated Mar 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017444 Issued in PA
Practice address
31 S Academy St
Mansfield, PA 16933-1149
Phone
(570) 662-4696
NPI assigned
Mar 22, 2020
Last updated
Mar 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2020

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 CW017444 PA Primary

Addresses

Primary practice location

31 S Academy St
Mansfield, PA 16933-1149

Mailing address

31 S Academy St
Mansfield, PA 16933-1149

Other identifiers 1

IdentifierTypeStateIssuer
CW017444OtherPASTATE LICENSING BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jmeisner@mansfield.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW017444PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584835200000",
    "number": "1457987398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S ACADEMY ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S ACADEMY ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331149",
            "telephone_number": "570-662-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISNER",
        "first_name": "JOLENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING BOARD",
            "identifier": "CW017444",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jmeisner@mansfield.edu",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1555 Alder Run Rd",
            "city": "Millerton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "169369266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.