Individual provider Active NPI

Duronn Stern, LCSW

  • Clinical Social Worker
  • Harrisburg, PA
National Provider Identifier
1942835327
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023248 Issued in PA
Practice address
940 E Park Dr Ste 206
Harrisburg, PA 17111-2800
Phone
(717) 421-7629
NPI assigned
Mar 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW023248 PA
Clinical Social Worker 1041C0700X CW023248 PA Primary

Addresses

Primary practice location

940 E Park Dr Ste 206
Harrisburg, PA 17111-2800

Mailing address

940 E Park Dr Ste 206
Harrisburg, PA 17111-2800
Phone (717) 421-7629

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL duronnstern@outlook.com Direct

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
I20241108000092 PA Practitioner - Clinical Social Worker 1254865603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Mental Wellness CurrentSince Oct 29, 2024 Accepting new patients
Mazzitti & Sullivan Counseling Services, Inc. Mental Health PastSince Mar 1, 2020 Accepting new patients

Locations

940 E Park Dr
Ste 206
Harrisburg, PA 17111
Phone (717) 421-7629

3544 N Progress Ave
Ste 107
Harrisburg, PA 17110
Phone (717) 421-7629

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": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1942835327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E PARK DR STE 206",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112800",
            "telephone_number": "717-421-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E PARK DR STE 206",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112800",
            "telephone_number": "717-421-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "DURONN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-06",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW023248",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "duronnstern@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "940 E Park Dr Ste 206",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171112800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.