Nicole Ann Kuneman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW024431 Issued in PA

Practice address

201 W 11TH St
Erie, PA 16501-1701

Phone

(833) 487-5769

NPI assigned

Apr 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Journey to a Trauma-Informed Life

  • Community/Behavioral Health Agency
  • Erie, PA
  • NPI 1518522242
  NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1790429900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 11TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011701",
            "telephone_number": "833-487-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 11TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011701",
            "telephone_number": "833-487-5769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3104 State St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165082820",
            "country_code": "US",
            "telephone_number": "833-487-5769 x711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2230 W 8th St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165054545",
            "country_code": "US",
            "telephone_number": "833-487-5769 x711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNEMAN",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135112",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kulyk, LPC
• Anamika Kumari
• Ashley M Kuneman, PA-C
• Janet L Kuneman, LPN
• Michael C Kuneman, PHARMD
• Lana Michael Kunik
• Jessie S Kunkel, DO
• Michelle S. Kunselman, RRT
• Deborah Lynn Kuntz, R.D., L.D.N., C.D.E.
• Sara Kristen Kuntz, L.P.C.

• Clinical Social Worker in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.