Eileen Elizabeth Brumbaugh, LCSW
Individual provider Active NPI Clinical Social Worker · Springfield, PA
NPI 1003064239 · NPPES record last updated Aug 29, 2008
Key facts
- NPI
- 1003064239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CW015963 (PA)
- Practice address
- 1489 Baltimore Pike BLDG. 200
Suite 250
Springfield, PA 19064 - Phone
- (610) 544-2110
- Fax
- (610) 604-9510
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Estadt Psychological Services LLC
Practice addresses (Care Compare)
1930 S Broad St
Philadelphia, PA 19145-2328
Phone (267) 304-3414
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241127001513 | PA | Practitioner - Clinical Social Worker | 5991230948 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Estadt Psychological Services, LLC | Current |
Accepting new patients |
Locations
1930 S Broad St
Philadelphia, PA 19145
Phone (215) 339-4563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW015963 | PA | Yes |
Addresses
Primary practice location
1489 Baltimore Pike BLDG. 200
Suite 250
Springfield, PA 19064
Mailing address
97 Lansdowne Court
Lansdowne, PA 19050-2335
Phone (484) 461-7212
Other providers in Springfield, PA
- Gabrielle Brooks
- Tran Tran Brough
- Abigail Brown
- Colleen Brown
- Melissa P Broyles
- Deneen Brusamonti
- Bucks Mont Ambulance
- Steffie Buerk
- Megan A Burman
- Olga Burt
All providers in Springfield, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.