Mario P Nunes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019227 Issued in PA

Practice address

27241 State Route 267
Friendsville, PA 18818-8640

Phone

(607) 231-2422

Fax

(607) 231-2422

NPI assigned

Jan 11, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 220 Front Street LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vestal, NY
  • NPI 1366175937
  NPD Authorized official
• Endless Mountains Counseling Associates

  • Psychologist
  • Friendsville, PA
  • NPI 1194030726
  NPD (past)

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1518204585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27241 ROUTE 267",
            "city": "FRIENDSVILLE",
            "state": "PA",
            "postal_code": "18818",
            "telephone_number": "607-231-2422",
            "fax_number": "607-231-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27241 STATE ROUTE 267",
            "city": "FRIENDSVILLE",
            "state": "PA",
            "postal_code": "188188640",
            "telephone_number": "607-231-2422",
            "fax_number": "607-231-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNES",
        "first_name": "MARIO",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-11",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019227",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrie A Doyle
• Deirdre Marie Eberhart, LCSW
• Endless Mountains Counseling Associates
• Kyle Kuzel, LCSW
• McGee Mobile Wellness, PLLC
• Roger Smothers, M.S.
• Spectrum Therapy LLC

• Clinical Social Worker in Friendsville, PA
• Providers in Friendsville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.