Individual provider Active NPI

Stephanie Danielson McMullan, M.S.W.

  • Clinical Social Worker
  • Exton, PA
National Provider Identifier
1023210697
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015443 Issued in PA
Practice address
423 Exton CMNS
Exton, PA 19341-2451
Phone
(610) 524-2444
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW015443 PA Primary

Addresses

Primary practice location

423 Exton CMNS
Exton, PA 19341-2451

Mailing address

743 Valley Rd
Phoenixville, PA 19460-3613
Phone (610) 983-9949

Other names 1

  • Miss Stephanie M. Danielson Former name

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
I20070725000613 PA Practitioner - Clinical Social Worker 9931200664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1999 Sproul Rd
Suite 23
Broomall, PA 19008-3557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince May 18, 2024 Accepting new patients
Springfield Psychological PC CurrentSince Oct 14, 2021 Accepting new patients
Hopewell Psychology LLC Clinical CurrentSince Jun 28, 2026 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince May 18, 2024 Accepting new patients
Fellowship Health Resources, Inc PastSince Dec 31, 2023 Accepting new patients
Collegeville Psychological Center Inc Clinical Past Accepting new patients

Locations

1999 Sproul Rd
Ste 23
Broomall, PA 19008
Phone (484) 731-0000

102 Pickering Way
Ste 506
Exton, PA 19341
Phone (856) 472-5092

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: stephanie.mcmullan.1@28623.direct.athenahealth.com

Organizations & group practices 6

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023210697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 VALLEY RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603613",
            "telephone_number": "610-983-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412451",
            "telephone_number": "610-524-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLAN",
        "first_name": "STEPHANIE",
        "middle_name": "DANIELSON",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DANIELSON",
            "middle_name": "M.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.