Individual provider Active NPI

Gemma Elizabeth Rusnak, LSW

  • Clinical Social Worker
  • Johnstown, PA
National Provider Identifier
1710519269
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026534 Issued in PA
Practice address
214 College Park PLZ
Johnstown, PA 15904-2833
Phone
(814) 262-0025
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW026534 PA Primary

Addresses

Primary practice location

214 College Park PLZ
Johnstown, PA 15904-2833

Mailing address

219 Leila St
Johnstown, PA 15905-2741
Phone (814) 244-6600

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
I20251111000239 PA Practitioner - Clinical Social Worker 3779073440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 College Park PLZ
Johnstown, PA 15904-2833
Phone (814) 262-0025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW026534PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nulton Diagnostic & Treatment Center, PC Single Specialty Current Accepting new patients
Nulton Diagnostic & Treatment Center, PC. Single Specialty CurrentSince Oct 6, 2025 Accepting new patients

Locations

214 College Park Plz
Johnstown, PA 15904
Phone (814) 262-0025

Organizations & group practices 2

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1710519269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 LEILA ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052741",
            "telephone_number": "814-244-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 COLLEGE PARK PLZ",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042833",
            "telephone_number": "814-262-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSNAK",
        "first_name": "GEMMA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.