Elva Degeorge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELVA DEGEORGE, LCSW

Practice address

415 Davisville Rd Ste 5
Willow Grove, PA 19090-2700

Phone

(267) 300-3164

NPI assigned

Oct 21, 2022

Last updated

Oct 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elva DegeorgeNPI 1265760276

Title

Owner/Psychotherapist

Phone

(267) 300-3164

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elva M Degeorge, LCSW

  • Clinical Social Worker
  • Willow Grove, PA
  • NPI 1265760276
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1043937972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 BOONE AVE",
            "city": "ROSLYN",
            "state": "PA",
            "postal_code": "190013503",
            "telephone_number": "215-300-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 DAVISVILLE RD STE 5",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902700",
            "telephone_number": "267-300-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELVA DEGEORGE, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "DEGEORGE",
        "authorized_official_first_name": "ELVA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "267-300-3164"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.