Sue Duberstein, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016002 Issued in PA

Practice address

3801 Conshohocken Ave
Suite 123
Phila, PA 19131

Phone

(215) 878-2336

Fax

(215) 878-2379

NPI assigned

Sep 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jewish Family and Childrens ServGroup PAC ID 7113915513, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jewish Family & Childrens Serv

  • Community/Behavioral Health Agency
  • Bala Cynwyd, PA
  • NPI 1639231012
  Medicare reassignment Care Compare group
• Jewish Family & Childrens Service

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1629258157
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1083801716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ARCH ST 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031300",
            "telephone_number": "267-256-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 CONSHOHOCKEN AVE",
            "address_2": "SUITE 123",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19131",
            "telephone_number": "215-878-2336",
            "fax_number": "215-878-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBERSTEIN",
        "first_name": "SUE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA WELFARE",
            "identifier": "1000008810025",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000008810009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Franklin D. Strong
• Dr. House Call
• Dr. Ken Cirka DMD
• Drexel College of Medicine
• Robert Bruce Drysdale, DDS
• Stanley Dubin, DDS
• Melissa Dunleavy, CRNP
• Wayne Hamilton Dunn, MD
• Jacqueline Dwyer, RD, CDE
• E&M Healthcare

• Clinical Social Worker in Phila, PA
• Providers in Phila, 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 Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.