Individual provider Active NPI

Nathaniel Sartell Prentice, MSW, LCSW

  • Clinical Social Worker
  • Havertown, PA
National Provider Identifier
1013158708
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015407 Issued in PA
Practice address
1630 Rose Glen Rd
Havertown, PA 19083-1824
Phone
(610) 659-2744
NPI assigned
Mar 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW015407 PA Primary

Addresses

Primary practice location

1630 Rose Glen Rd
Havertown, PA 19083-1824

Mailing address

1630 Rose Glen Rd
Havertown, PA 19083-1824
Phone (610) 659-2744

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
I20090923000538 PA Practitioner - Clinical Social Worker 8628124211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of Connecticut PCGroup PAC ID 9436502879, 132 clinicians

Practice addresses (Care Compare)

1489 Baltimore Pike
Suite 250
Springfield, PA 19064-3974
Phone (610) 544-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015407PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Choices of the Delaware Valley, LLC Clinical CurrentSince May 24, 2018 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince May 18, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince May 18, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Feb 19, 2025 Accepting new patients
Springfield Psychological PC CurrentSince May 6, 2021 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2002 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 626-8085

5060 State Rd
Fl 2
Drexel Hill, PA 19026
Phone (610) 626-8085

920 W Chester Pike
Havertown, PA 19083

491 Allendale Rd
Ste 322
Kng of Prussa, PA 19406
Phone (215) 805-4092

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

7 Neshaminy Interplex Dr
Trevose, PA 19053

7 Neshaminy Interplex Dr
Ste 411
Trevose, PA 19053

560 Van Reed Rd
Ste 301
Wyomissing, PA 19610
Phone (610) 378-9601

Interoperability endpoints

  • Direct secure messaging: nathaniel.prentice.1@28623.direct.athenahealth.com

Organizations & group practices 5

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": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1013158708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 ROSE GLEN RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831824",
            "telephone_number": "610-659-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 ROSE GLEN RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831824",
            "telephone_number": "610-659-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "NATHANIEL",
        "middle_name": "SARTELL",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.