Individual provider Active NPI

Janaki Spickard-Keeler, MSS, LSW

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1104317288
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW133928 Issued in PA
Practice address
313 S 16TH St
Philadelphia, PA 19102
Phone
(215) 732-8244
NPI assigned
May 23, 2018
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW133928 PA Primary

Addresses

Primary practice location

313 S 16TH St
Philadelphia, PA 19102

Mailing address

2227 Mulberry CT
Lansdale, PA 19446-4369
Phone (215) 776-9436

Other practice location 1

6122 Ridge Ave
Philadelphia, PA 19128-1603
Phone (215) 487-1330

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
I20260530000523 PA Practitioner - Clinical Social Worker 4688144637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doylestown Counseling AssociatesGroup PAC ID 2668914912, 8 clinicians

Practice addresses (Care Compare)

252 W Swamp Rd
Suite 36
Doylestown, PA 18901-2465
Phone (267) 454-2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW133928PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia School of Psychoanalysis Social Worker Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1104317288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 MULBERRY CT",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464369",
            "telephone_number": "215-776-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 16TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-732-8244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6122 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191281603",
            "country_code": "US",
            "telephone_number": "215-487-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPICKARD-KEELER",
        "first_name": "JANAKI",
        "credential": "MSS, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW133928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.