Ellyn Deguida, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016354 Issued in PA

Practice address

31 W Wissahickon Ave
Flourtown, PA 19031-1917

Phone

(215) 233-9232

NPI assigned

Mar 19, 2010

Last updated

Jan 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

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 PCGroup PAC ID 1456331214, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sri Psychological Services, PC

  dba SRI Psychological Services

  • Psychologist
  • Jenkintown, PA
  • NPI 1730259904
  Medicare reassignment Care Compare group NPD
• Insight Counseling LLC

  • Mental Health Counselor
  • Horsham, PA
  • NPI 1841486529
  Medicare reassignment NPD
• HR Physician Services

  dba Redeemer Behavioral Health

  • Child & Adolescent Psychiatry Physician
  • Huntingdon Valley, PA
  • NPI 1205500188
  NPD

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1154645182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W WISSAHICKON AVE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311917",
            "telephone_number": "215-233-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W WISSAHICKON AVE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311917",
            "telephone_number": "215-233-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUIDA",
        "first_name": "ELLYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05417400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Sharon Davis
• Maria Davydova, APRN, FNP-C
• Lauren Decapua
• Peggy Defelice, MD
• Michael Anthony Degeorge, DDS
• Kathleen Dempsey, PHARMD
• Jessica Therese Derita, OTR/L
• Rabiya Dharsi, RDN
• Thomas F Diaz, M.D.
• Dibe Arcadia Healthcare Services LLC

• Clinical Social Worker in Flourtown, PA
• Providers in Flourtown, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.