Individual provider Active NPI

Lisa Kunzmann, LSW

  • Clinical Social Worker
  • Mansfield, PA
National Provider Identifier
1609280700
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
131326 Issued in PA
Practice address
650 Hardscrabble Rd
Mansfield, PA 16933-9388
Phone
(570) 916-0423
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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 131326 PA Primary

Addresses

Primary practice location

650 Hardscrabble Rd
Mansfield, PA 16933-9388

Mailing address

650 Hardscrabble Rd
P.O.Box 96
Mansfield, PA 16933-9388
Phone (570) 916-0423

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
131326PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Finding New Hope Counseling Corp 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1609280700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HARDSCRABBLE RD",
            "address_2": "P.O.BOX 96",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169339388",
            "telephone_number": "570-916-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HARDSCRABBLE RD",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169339388",
            "telephone_number": "570-916-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZMANN",
        "first_name": "LISA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "131326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.