Active NPI
Kendra Helene Mara-Roman, MSW, LSW
- Clinical Social Worker
- Seven Fields, PA
National Provider Identifier
1992316632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW023698
- Practice address
- Cranberry Psychological Center
100 Northpointe Circle, Ste 306
Seven Fields, PA 16046 - Phone
- (724) 772-4848
- Fax
- (724) 772-4888
- NPI assigned
- Aug 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW023698 | PA | Primary |
Addresses
Primary practice location
Cranberry Psychological Center
100 Northpointe Circle, Ste 306
Seven Fields, PA 16046
Mailing address
Cranberry Psychological Center
100 Northpointe Circle, Ste 306
Seven Fields, PA 16046
Phone (724) 772-4848
Other names 1
- Kendra Helene Mara
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW023698 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cranberry Psychological Center, Inc. | Clinical | Current | Accepting new patients |
Locations
100 Northpointe Cir
Ste 306
Seven Fields, PA 16046
Phone (724) 772-4848
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Seven Fields, PA
- NPI 1598745135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1992316632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CRANBERRY PSYCHOLOGICAL CENTER",
"address_2": "100 NORTHPOINTE CIRCLE, STE 306",
"city": "SEVEN FIELDS",
"state": "PA",
"postal_code": "16046",
"telephone_number": "724-772-4848",
"fax_number": "724-772-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CRANBERRY PSYCHOLOGICAL CENTER",
"address_2": "100 NORTHPOINTE CIRCLE, STE 306",
"city": "SEVEN FIELDS",
"state": "PA",
"postal_code": "16046",
"telephone_number": "724-772-4848",
"fax_number": "724-772-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARA-ROMAN",
"first_name": "KENDRA",
"middle_name": "HELENE",
"name_prefix": "Mrs.",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-15",
"last_updated": "2023-06-19",
"certification_date": "2023-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW023698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KENDRA",
"last_name": "MARA",
"middle_name": "HELENE",
"credential": "MSW, LSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seven Fields, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.