| C-nta | |
|
303 Budfield St Johnstown PA 15904-3213 | |
| (814) 266-3196 | |
| (814) 266-6296 |
| Full Name | C-nta |
|---|---|
| Speciality | Social Worker |
| Location | 303 Budfield St, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Amy Marie Nielsen (PRESIDENT) |
| Authorized Official Contact | 8142662244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C-nta 303 Budfield St Johnstown PA 15904-3213 Ph: (814) 266-3196 | C-nta 303 Budfield St Johnstown PA 15904-3213 Ph: (814) 266-3196 |
| NPI Number | 1770928731 |
|---|---|
| Provider Enumeration Date | 05/05/2013 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 7214162916 |
|---|---|
| Medicare Enrollment ID | O20131106000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770928731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Miranda N Simunic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700182656 PECOS PAC ID: 5597925594 Enrollment ID: I20120329000115 |
| Provider Name | Angie R Richard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992075543 PECOS PAC ID: 5294044244 Enrollment ID: I20151014002172 |
| Provider Name | Samantha Inzana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619562188 PECOS PAC ID: 5890167829 Enrollment ID: I20230221000017 |
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