Individual provider Active NPI

Mindy Rushbrook, MSS, LCSW

  • Clinical Social Worker
  • Langhorne, PA
National Provider Identifier
1043357817
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016049 Issued in PA
Practice address
670 Woodbourne Rd
4 Cornerstone Dr
Langhorne, PA 19047-1847
Phone
(215) 757-6916
Fax
(215) 757-2115
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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 CW016049 PA Primary

Addresses

Primary practice location

670 Woodbourne Rd
4 Cornerstone Dr
Langhorne, PA 19047-1847

Mailing address

244 Monroe St
Bristol, PA 19007-4212
Phone (215) 964-3395

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
I20090128000079 PA Practitioner - Clinical Social Worker 0244394716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

1432 Easton Rd
Warrington, PA 18976-2853
Phone (610) 892-3800

780 E Market St
West Chester, PA 19382-4882
Phone (610) 892-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Nov 16, 2022 Accepting new patients
Springfield Psychological PC CurrentSince Sep 1, 2015 Accepting new patients

Locations

2321 N Broad St
Colmar, PA 18915
Phone (215) 997-3600

1005 W 9th Ave
Ste B
Kng of Prussa, PA 19406
Phone (484) 685-0965

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

1432 Easton Rd
Ste 5A
Warrington, PA 18976
Phone (215) 710-5234

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.mindyrushbrook@141748.advancedmd-direct.com

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1043357817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MONROE ST",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074212",
            "telephone_number": "215-964-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 WOODBOURNE RD",
            "address_2": "4 CORNERSTONE DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471847",
            "telephone_number": "215-757-6916",
            "fax_number": "215-757-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHBROOK",
        "first_name": "MINDY",
        "credential": "MSS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.