NPIMap

Individual provider Active NPI

Haley Ann Zuchowski, LCSW

  • Clinical Social Worker
  • Mansfield, PA
National Provider Identifier
1619630928
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025077 Issued in PA
Practice address
40 W Wellsboro St
Mansfield, PA 16933-1411
Phone
(570) 723-0620
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 CW025077 PA Primary

Addresses

Primary practice location

40 W Wellsboro St
Mansfield, PA 16933-1411

Mailing address

40 W Wellsboro St
Mansfield, PA 16933-1411
Phone (570) 662-1945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028000378 PA Practitioner - Clinical Social Worker 7214460443 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Comprehensive Health Services CurrentSince Nov 18, 2024 Accepting new patients
North Penn Comprehensive Health Services CurrentSince Nov 18, 2024 Accepting new patients
North Penn Comprehensive Health Services Current Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients

Locations

6 Riverside Plz
Blossburg, PA 16912
Phone (570) 638-2174

103 Forestview Ave
Elkland, PA 16920
Phone (814) 258-5117

32 E Lawrence Rd
Lawrenceville, PA 16929
Phone (570) 827-0125

416 S Main St
Mansfield, PA 16933
Phone (570) 662-1900

40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945

410 Main St
Ste 102
Towanda, PA 18848
Phone (570) 266-5882

45 Mud Creek Rd
Troy, PA 16947
Phone (570) 297-3746

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

236 E Main St
Westfield, PA 16950
Phone (814) 367-5911

Organizations & group practices 10

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1619630928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W WELLSBORO ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331411",
            "telephone_number": "570-662-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W WELLSBORO ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331411",
            "telephone_number": "570-723-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCHOWSKI",
        "first_name": "HALEY",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, PA

Sources for this page

Verify at the official NPI Registry.