Individual provider Active NPI

Maria Danielle Picciotti, MSW, LCSW, C-DBT

  • Social Worker
  • Souderton, PA
National Provider Identifier
1083992457
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
424 Beck Rd
Souderton, PA 18964-2208
Phone
(215) 906-6062
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW023744 PA
Social Worker 104100000X Primary

Addresses

Primary practice location

424 Beck Rd
Souderton, PA 18964-2208

Mailing address

424 Beck Rd
Souderton, PA 18964-2208
Phone (215) 906-6062

Other practice location 1

4 Cornerstone Dr
Langhorne, PA 19047-1314
Phone (215) 757-6916 ext. 144

Other names 1

  • Maria Danielle Culp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • 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
I20241101000957 PA Practitioner - Clinical Social Worker 3375076086 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Behavioral Services of West Chester, LLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

400 E Marshall St
West Chester, PA 19380
Phone (484) 826-0400

3102 West End Ave
Ste 1000
Nashville, TN 37203

Organizations & group practices 1

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1083992457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BECK RD",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642208",
            "telephone_number": "215-906-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 BECK RD",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642208",
            "telephone_number": "215-906-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Cornerstone Dr",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471314",
            "country_code": "US",
            "telephone_number": "215-757-6916 x144",
            "fax_number": "215-757-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICCIOTTI",
        "first_name": "MARIA",
        "middle_name": "DANIELLE",
        "credential": "MSW, LCSW, C-DBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023744",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CULP",
            "middle_name": "DANIELLE",
            "credential": "BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Souderton, PA

Sources for this page

Verify at the official NPI Registry.