Individual provider Active NPI

Gretchen Melissa Echegoyen, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1104389741
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4431 Spruce St Apt 1F
Philadelphia, PA 19104-4723
Phone
(301) 401-9558
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW135877 PA
Clinical Social Worker 1041C0700X PA Primary

Addresses

Primary practice location

4431 Spruce St Apt 1F
Philadelphia, PA 19104-4723

Mailing address

4431 Spruce St Apt 1F
Philadelphia, PA 19104-4723
Phone (301) 401-9558

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
I20211221000016 PA Practitioner - Clinical Social Worker 4587055843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cristina Panaccione and AssociatesGroup PAC ID 6103100326, 4 clinicians

Practice addresses (Care Compare)

5168 Campbells Run Rd
Suite 204
Pittsburgh, PA 15205-9778
Phone (412) 439-1416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW135877PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cristina Panaccione and Associates CurrentSince Jan 1, 2025 Accepting new patients

Locations

3555 Washington Rd
Ste 2
Mc Murray, PA 15317
Phone (412) 439-1416

5168 Campbells Run Rd
Ste 204
Pittsburgh, PA 15205
Phone (412) 439-1416

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1104389741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 SPRUCE ST APT 1F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044723",
            "telephone_number": "301-401-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 SPRUCE ST APT 1F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044723",
            "telephone_number": "301-401-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEGOYEN",
        "first_name": "GRETCHEN",
        "middle_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135877",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.