Ellyn Deguida, LCSW
Individual provider Active NPI Clinical Social Worker · Flourtown, PA
NPI 1154645182 · NPPES record last updated Jan 6, 2020
Key facts
- NPI
- 1154645182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CW016354 (PA)
- Practice address
- 31 W Wissahickon Ave
Flourtown, PA 19031-1917 - Phone
- (215) 233-9232
- NPI assigned
- Mar 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sri Psychological Services PC
Practice addresses (Care Compare)
261 Old York Rd
Suite 318
Jenkintown, PA 19046-3709
Phone (215) 885-3337
261 Old York Roadq
Suite 318
Jenkintown, PA 19046-3709
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110415000314 | PA | Practitioner - Clinical Social Worker | 9032393095 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05417400 | NJ | MD | Clinical Social Worker |
| CW016354 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Counseling LLC | Current |
Accepting new patients | |
| Sri Psychological Services, PC | Current |
Accepting new patients | |
| HR Physician Services | Current |
Accepting new patients |
Locations
2 Village Rd
Ste 6
Horsham, PA 19044
Phone (267) 781-0712
727 Welsh Rd
Ste 202
Huntingdon Vy, PA 19006
Phone (215) 914-2119
261 Old York Rd
Ste 318
Jenkintown, PA 19046
Phone (215) 371-3490
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05417400 | NJ | |
| Clinical Social Worker | 1041C0700X | CW016354 | PA | Yes |
Addresses
Primary practice location
31 W Wissahickon Ave
Flourtown, PA 19031-1917
Mailing address
31 W Wissahickon Ave
Flourtown, PA 19031-1917
Phone (215) 233-9232
Other providers in Flourtown, PA
- Anh Tram Dang
- Maria Davydova
- Lauren Decapua
- Peggy Defelice
- Michael Anthony Degeorge
- James Michael Delaplane
- Kathleen Dempsey
- Jessica Therese Derita
- Rabiya Dharsi
- Thomas F Diaz
All providers in Flourtown, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.