Individual provider Active NPI

Joshua Aaron Kuleck, LSW

  • Social Worker
  • Saint Marys, PA
National Provider Identifier
1760829212
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW129710 Issued in PA
Practice address
801 South Michael St.
Cen Clear Child Services
Saint Marys, PA 15857
Phone
(814) 834-9283
NPI assigned
May 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW129710 PA Primary

Addresses

Primary practice location

801 South Michael St.
Cen Clear Child Services
Saint Marys, PA 15857

Mailing address

145 Carson St
Emporium, PA 15834-2015
Phone (814) 558-8399

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
I20160812000538 PA Practitioner - Clinical Social Worker 2365736451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW129710PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cen Clear Child Services, Inc. CurrentSince Jun 15, 2016 Accepting new patients
Delhunty Chiropractic Health & Wellness, PLLC. PastSince Jun 1, 2020 Accepting new patients

Locations

801 S Michael St
Saint Marys, PA 15857
Phone (814) 781-1113

50 Bigler Rd
Woodland, PA 16881

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1760829212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CARSON ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158342015",
            "telephone_number": "814-558-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SOUTH MICHAEL ST.",
            "address_2": "CEN CLEAR CHILD SERVICES",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "15857",
            "telephone_number": "814-834-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULECK",
        "first_name": "JOSHUA",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.