Individual provider Active NPI

Miranda Simunic, LCSW

  • Clinical Social Worker
  • Johnstown, PA
National Provider Identifier
1700182656
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017137 Issued in PA
Practice address
303 Budfield St
Johnstown, PA 15904-3213
Phone
(814) 266-3196
Fax
(814) 266-6296
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW126794 PA
Clinical Social Worker 1041C0700X CW017137 PA Primary

Addresses

Primary practice location

303 Budfield St
Johnstown, PA 15904-3213

Mailing address

303 Budfield St
Johnstown, PA 15904-3213
Phone (814) 266-3196

Other practice location 1

131 Market St
Johnstown, PA 15901-1628
Phone (814) 535-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120329000115 PA Practitioner - Clinical Social Worker 5597925594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Croyle-Nielsen Therapeutic Associates IncGroup PAC ID 7214162916, 2 clinicians

Practice addresses (Care Compare)

485 Berlin Plank Rd
Somerset, PA 15501-2415
Phone (814) 701-2898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW126794PAMDSocial Worker
CW017137PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Community Resource Program, Inc. CurrentSince Apr 1, 2012 Accepting new patients
Choices Clinical Counseling, LLC CurrentSince May 1, 2021 Accepting new patients
Croyle-Nielsen Therapeutic Associates, Inc. Clinical CurrentSince Aug 26, 2023 Accepting new patients
Marvin Behavioral Health Ma PC Clinical Past Accepting new patients

Locations

131 Market St
Johnstown, PA 15901
Phone (814) 534-0745

2517 Bedford St
Johnstown, PA 15904
Phone (814) 241-7990

119 Walnut St
Johnstown, PA 15901
Phone (814) 533-0138

303 Budfield St
Johnstown, PA 15904
Phone (814) 266-3196

485 Berlin Plank Rd
Somerset, PA 15501
Phone (814) 266-3196

Organizations & group practices 4

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": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1700182656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043213",
            "telephone_number": "814-266-3196",
            "fax_number": "814-266-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043213",
            "telephone_number": "814-266-3196",
            "fax_number": "814-266-6296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Market St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159011628",
            "country_code": "US",
            "telephone_number": "814-535-2277",
            "fax_number": "814-535-2219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMUNIC",
        "first_name": "MIRANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126794",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.