Active NPI
Jolene Meisner, LCSW
- Clinical Social Worker
- Mansfield, PA
National Provider Identifier
1457987398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW017444
- Practice address
- 31 S Academy St
Mansfield, PA 16933-1149 - Phone
- (570) 662-4696
- NPI assigned
- Mar 22, 2020
- Last updated
- Mar 22, 2020
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CW017444 | Other | PA | STATE LICENSING BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CW017444 | PA | MD | Clinical 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": []
}
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- Kristina E. Mielke, LCSW
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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.