Individual provider Active NPI

Karen A Mummau, LCSW

  • Clinical Social Worker
  • Elizabethtown, PA
National Provider Identifier
1467885046
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019108 Issued in PA
Practice address
420 E Park St
Elizabethtown, PA 17022-2267
Phone
(717) 282-2908
NPI assigned
Aug 19, 2013
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW125121 PA
Clinical Social Worker 1041C0700X CW019108 PA Primary

Addresses

Primary practice location

420 E Park St
Elizabethtown, PA 17022-2267

Mailing address

420 E Park St
Elizabethtown, PA 17022-2267
Phone (717) 333-0436

Other practice location 1

45 W Brandt Blvd
Salunga, PA 17538-1105
Phone (717) 282-2908 ext. 11

Other practice location 2

53 W Brandt Blvd
Salunga, PA 17538-1161
Phone (717) 282-2908

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW125121PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matters of the Heart Counseling LLC PastSince Nov 1, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1467885046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E PARK ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222267",
            "telephone_number": "717-333-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E PARK ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222267",
            "telephone_number": "717-282-2908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 W Brandt Blvd",
            "address_purpose": "LOCATION",
            "city": "Salunga",
            "state": "PA",
            "postal_code": "175381105",
            "country_code": "US",
            "telephone_number": "717-282-2908 x11",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 W Brandt Blvd",
            "address_purpose": "LOCATION",
            "city": "Salunga",
            "state": "PA",
            "postal_code": "175381161",
            "country_code": "US",
            "telephone_number": "717-282-2908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUMMAU",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.