Individual provider Active NPI

Beth Ann Bunting, LCSW

  • Clinical Social Worker
  • Wyndmoor, PA
National Provider Identifier
1164565735
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW010139L Issued in PA
Practice address
8607 Hull Dr
Wyndmoor, PA 19038-7539
Phone
(215) 208-6350
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 CW010139L PA Primary

Addresses

Primary practice location

8607 Hull Dr
Wyndmoor, PA 19038-7539

Mailing address

8607 Hull Dr
Wyndmoor, PA 19038-7539
Phone (215) 208-6350

Other identifiers 3

IdentifierTypeStateIssuer
2358191000OtherPAPERSONAL CHOICE
174057000OtherPAMAGELLAN
7666257OtherPAAETNA

Other names 1

  • Beth Ann Grace Javornik Bunting Professional name

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
I20141222000339 PA Practitioner - Clinical Social Worker 5092038174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

60 E Township Line Rd
Elkins Park, PA 19027-2220
Phone (215) 663-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW010139LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc CurrentSince Oct 25, 2014 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 7, 2025 Accepting new patients
Einstein Practice Plan Inc CurrentSince Oct 25, 2014 Accepting new patients
Evergreen Counseling Associates Clinical Past Accepting new patients
Evergreen Counseling and Psychological Associates LLC Clinical PastSince Mar 20, 2017 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

Organizations & group practices 5

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1164565735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 HULL DR",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387539",
            "telephone_number": "215-208-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 HULL DR",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387539",
            "telephone_number": "215-208-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTING",
        "first_name": "BETH ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW010139L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2358191000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "174057000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7666257",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH ANN",
            "last_name": "JAVORNIK BUNTING",
            "middle_name": "GRACE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wyndmoor, PA

Sources for this page

Verify at the official NPI Registry.