Individual provider Active NPI

Justin Talbot, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1073135000
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026003 Issued in PA
Practice address
500 N 13TH St
Philadelphia, PA 19123-3955
Phone
(267) 636-6008
Fax
(267) 805-8505
NPI assigned
May 13, 2020
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 106866 TX
Clinical Social Worker 1041C0700X CW026003 PA Primary

Addresses

Primary practice location

500 N 13TH St
Philadelphia, PA 19123-3955

Mailing address

1147 N 4TH St Unit 3F
Philadelphia, PA 19123-1572
Phone (409) 781-0094

Other practice location 1

9800 Hillwood Pkwy Ste 140
Fort Worth, TX 76177-1532
Phone (248) 436-4400

Other names 1

  • Ondrea Talbot Professional 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
I20260625000021 PA Practitioner - Clinical Social Worker 2163995739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 N 13TH St
Philadelphia, PA 19123-3955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW026003PAMDClinical Social Worker
106866TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Matters Counseling Center Clinical Past Accepting new patients
Rooted in Compassion, LLC Clinical PastSince Jun 15, 2025 Accepting new patients
Neutral Ground Healing Collective, LLC Social Worker PastSince Apr 27, 2025 Accepting new patients

Organizations & group practices 3

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": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1073135000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 N 4TH ST UNIT 3F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231572",
            "telephone_number": "409-781-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 13TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233955",
            "telephone_number": "267-636-6008",
            "fax_number": "267-805-8505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9800 Hillwood Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761771532",
            "country_code": "US",
            "telephone_number": "248-436-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "JUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2020-05-13",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "106866",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ONDREA",
            "last_name": "TALBOT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.