Active NPI
Karen A Mummau, LCSW
- Clinical Social Worker
- Elizabethtown, PA
National Provider Identifier
1467885046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019108
- Practice address
- 420 E Park St
Elizabethtown, PA 17022-2267 - Phone
- (717) 282-2908
- NPI assigned
- Aug 19, 2013
- Last updated
- May 13, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SW125121 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matters of the Heart Counseling LLC | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- East Petersburg, PA
- NPI 1356985147
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.