Empowering Minds Counseling LLC
Organization Active NPI Clinical Social Worker · Laureldale, PA
NPI 1023601705 · NPPES record last updated Feb 14, 2021
Key facts
- NPI
- 1023601705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- EMPOWERING MINDS COUNSELING LLC
- Practice address
- 3803 Kutztown Rd
Laureldale, PA 19605-1844 - Phone
- (610) 507-1977
- NPI assigned
- Feb 14, 2021
- Organization subpart
- No
Authorized official
- Name
- Marisol Perez-Cadena, LCSW
- Title
- Behavioral Health Provider
- Phone
- (610) 507-1977
Practitioners 2
-
Marisol Perez-Cadena, MSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210625000594 | PA | Part B Supplier - Clinic/Group Practice | 8820499031 |
Receives reassigned benefits from 1 practitioner Practice locations: Laureldale, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
3803 Kutztown Rd
Laureldale, PA 19605-1844
Mailing address
3803 Kutztown Rd
Laureldale, PA 19605-1844
Phone (610) 507-1977
Other providers in Laureldale, PA
- Jose Michael Castel
- Donald Carl Clouser Jr.
- Amanda B Craft
- Sara Dunkelberger
- Patrick Eigbe
- Kathleen Marie Glass
- Edward S Glassic
- Jill Diamond Greene
- Julie Marie Hite
- Kristea Jones
All providers in Laureldale, 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 Feb 14, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.