Individual provider Active NPI

Wendy E Lias, LSW

  • Social Worker
  • Bala Cynwyd, PA
National Provider Identifier
1154762623
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW136833 Issued in PA
Practice address
110 Bentley Ave
Bala Cynwyd, PA 19004-2806
Phone
(610) 453-3597
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW136833 PA Primary

Addresses

Primary practice location

110 Bentley Ave
Bala Cynwyd, PA 19004-2806

Mailing address

110 Bentley Ave
Bala Cynwyd, PA 19004-2806
Phone (610) 453-3597

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
SW136833PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Lias, LLC Clinical CurrentSince Mar 31, 2024 Accepting new patients
Beech Brook Past Accepting new patients

Organizations & group practices 2

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": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1154762623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BENTLEY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042806",
            "telephone_number": "610-453-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BENTLEY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042806",
            "telephone_number": "610-453-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAS",
        "first_name": "WENDY",
        "middle_name": "E",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW136833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.