Individual provider Active NPI

Jody Rosenblum, LCSW

  • Clinical Social Worker
  • Doylestown, PA
National Provider Identifier
1104370311
Registry record updated Apr 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018947 Issued in PA
Practice address
11 Weldon Dr
Doylestown, PA 18901-2359
Phone
(215) 345-8530
NPI assigned
Aug 5, 2016
Last updated
Apr 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2017

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 CW018947 PA Primary

Addresses

Primary practice location

11 Weldon Dr
Doylestown, PA 18901-2359

Mailing address

39 N Franklin St
Doylestown, PA 18901-3546
Phone (267) 337-2334

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
I20210226000870 PA Practitioner - Clinical Social Worker 2668887506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David a. Nover, M.D., P.C.Group PAC ID 1850339623, 5 clinicians

Practice addresses (Care Compare)

1432 Easton Rd
Warrington, PA 18976-2852
Phone (215) 491-7570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Nover, M.D., P.C. CurrentSince Feb 16, 2021 Accepting new patients
Aldie Foundation Past Accepting new patients
Aldie Foundation Past Accepting new patients

Locations

1432 Easton Rd
Ste 2C
Warrington, PA 18976
Phone (215) 491-7570

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, 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": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491091200000",
    "number": "1104370311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N FRANKLIN ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013546",
            "telephone_number": "267-337-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WELDON DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012359",
            "telephone_number": "215-345-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "JODY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2017-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.