Individual provider Active NPI

Deirdre Razzi, LSW

  • Clinical Social Worker
  • Bryn Mawr, PA
National Provider Identifier
1104101203
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017120 Issued in PA
Practice address
850 W Lancaster Ave
2ND Floor
Bryn Mawr, PA 19010-3220
Phone
(610) 520-1510
Fax
(610) 520-1517
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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 CW017120 PA Primary

Addresses

Primary practice location

850 W Lancaster Ave
2ND Floor
Bryn Mawr, PA 19010-3220

Mailing address

1030 E. Lancaster Avenue
Apt. 616
Bryn Mawr, PA 19010-3220
Phone (215) 287-4742

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
I20111118000335 PA Practitioner - Clinical Social Worker 6305010893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 W Plumstead Ave
Lansdowne, PA 19050-1120
Phone (215) 287-4742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deirdre Razzi, LCSW, LLC CurrentSince Oct 16, 2020 Accepting new patients
Moore Psychological Services, LLC CurrentSince Mar 20, 2016 Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients

Locations

600 N Jackson St
Ste 201
Media, PA 19063
Phone (610) 585-0307

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

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": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1104101203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E. LANCASTER AVENUE",
            "address_2": "APT. 616",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103220",
            "telephone_number": "215-287-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W LANCASTER AVE",
            "address_2": "2ND FLOOR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103220",
            "telephone_number": "610-520-1510",
            "fax_number": "610-520-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZI",
        "first_name": "DEIRDRE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.