Active NPI
Miriam E. Buchanan, MSSA, LCSW
- Clinical Social Worker
- Bala Cynwyd, PA
National Provider Identifier
1508126384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016335
- 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
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services of Montgomery County PA | Clinical | Current | Accepting new patients |
| Catholic Clinical Consultants | Past | Accepting new patients | |
| Villa St John Vianney | Past | 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.
-
- Clinical Social Worker
- Eagleville, PA
- NPI 1811926918
-
- Psychologist
- Levittown, PA
- NPI 1972832780
-
- Psychiatric Hospital
- Downingtown, PA
- NPI 1497836274
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.