Individual provider Active NPI

Miriam E. Buchanan, MSSA, LCSW

  • Clinical Social Worker
  • Bala Cynwyd, PA
National Provider Identifier
1508126384
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016335 Issued in PA
Practice address
63 W Princeton Rd
Bala Cynwyd, PA 19004-2511
Phone
(215) 528-0542
NPI assigned
May 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2012

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 CW016335 PA Primary

Addresses

Primary practice location

63 W Princeton Rd
Bala Cynwyd, PA 19004-2511

Mailing address

63 W Princeton Rd
Bala Cynwyd, PA 19004-2511

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services of Montgomery County PA Clinical CurrentSince Nov 5, 2012 Accepting new patients
Catholic Clinical Consultants PastSince Jan 21, 2010 Accepting new patients
Villa St John Vianney PastSince Aug 4, 2020 Accepting new patients

Locations

3125 Ridge Pike
Norristown, PA 19403
Phone (610) 230-2111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1508126384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 W PRINCETON RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W PRINCETON RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042511",
            "telephone_number": "215-528-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "MIRIAM",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "MSSA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.