Individual provider Active NPI

Michael Hanowitz, L.C.S.W.

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1114209848
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013065 Issued in PA
Practice address
1415 N Broad St
Suite 221C
Philadelphia, PA 19122-3323
Phone
(215) 588-5629
NPI assigned
Sep 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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 CW013065 PA Primary

Addresses

Primary practice location

1415 N Broad St
Suite 221C
Philadelphia, PA 19122-3323

Mailing address

1415 N Broad St
Sutie 221C
Philadelphia, PA 19122-3323
Phone (215) 588-5629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW013065PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1114209848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N BROAD ST",
            "address_2": "SUTIE 221C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223323",
            "telephone_number": "215-588-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N BROAD ST",
            "address_2": "SUITE 221C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223323",
            "telephone_number": "215-588-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANOWITZ",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.