Individual provider Active NPI

Marita Pyankov

  • Social Worker
  • Wynnewood, PA
National Provider Identifier
1013583236
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
308 E Lancaster Ave Ste 200
Wynnewood, PA 19096-2145
Phone
(484) 679-6299
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

308 E Lancaster Ave Ste 200
Wynnewood, PA 19096-2145

Mailing address

308 E Lancaster Ave Ste 200
Wynnewood, PA 19096-2145
Phone (484) 679-6299

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
I20231113001461 PA Practitioner - Clinical Social Worker 8921455965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seven Spoons Therapy PLLCGroup PAC ID 8921332792, 2 clinicians

Practice addresses (Care Compare)

Bala Cynwyd, PA 19004
Phone (856) 392-7692

105 Bala Ave
Bala Cynwyd, PA 19004-3307
Phone (856) 392-7692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Spoons Therapy, PLLC CurrentSince Nov 2, 2023 Accepting new patients
Aviva Gaskill, PHD, PLLC CurrentSince Nov 2, 2023 Accepting new patients

Locations

308 E Lancaster Ave
Ste 200
Wynnewood, PA 19096
Phone (610) 642-2353

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1013583236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E LANCASTER AVE STE 200",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962145",
            "telephone_number": "484-679-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E LANCASTER AVE STE 200",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962145",
            "telephone_number": "484-679-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYANKOV",
        "first_name": "MARITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.