Individual provider Active NPI

Judith Kurtis, LCSW

  • Clinical Social Worker
  • Ambler, PA
National Provider Identifier
1164990701
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018543 Issued in PA
Practice address
921B N Bethlehem Pike
FL 3
Ambler, PA 19002-1319
Phone
(215) 292-8437
Fax
(973) 669-2569
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW018543 PA Primary

Addresses

Primary practice location

921B N Bethlehem Pike
FL 3
Ambler, PA 19002-1319

Mailing address

341 Casals PL
Ambler, PA 19002-2735
Phone (301) 807-2577

Other practice location 1

341 Casals Pl
Ambler, PA 19002-2735
Phone (301) 807-2577

Other practice location 2

1605 N Cedar Crest Blvd Ste 110B
Allentown, PA 18104-2351
Phone (610) 973-1410 ext. 1490

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
I20190115000140 PA Practitioner - Clinical Social Worker 7719916527 Reassigns benefits to 1 organization
Practice locations: Blue Bell, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Penllyn Counseling Associates LLCGroup PAC ID 4486037835, 3 clinicians

Practice addresses (Care Compare)

589 Skippack Pike
Suite 303
Blue Bell, PA 19422-2159
Phone (215) 292-8437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW018543PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Judith F. Kurtis LCSW CurrentSince Jan 15, 2019 Accepting new patients
Penllyn Counseling Associates LLC Clinical CurrentSince Aug 1, 2022 Accepting new patients
Delaware County Professional Services, Inc Single Specialty PastSince Aug 6, 2023 Accepting new patients

Locations

921B N Bethlehem Pike
Fl 3
Ambler, PA 19002
Phone (215) 292-8437

589 Skippack Pike
Ste 303
Blue Bell, PA 19422
Phone (215) 292-8437

Organizations & group practices 3

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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1164990701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 CASALS PL",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022735",
            "telephone_number": "301-807-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921B N BETHLEHEM PIKE",
            "address_2": "FL 3",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021319",
            "telephone_number": "215-292-8437",
            "fax_number": "973-669-2569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Casals Pl",
            "address_purpose": "LOCATION",
            "city": "Ambler",
            "state": "PA",
            "postal_code": "190022735",
            "country_code": "US",
            "telephone_number": "301-807-2577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1605 N Cedar Crest Blvd Ste 110B",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181042351",
            "country_code": "US",
            "telephone_number": "610-973-1410 x1490",
            "fax_number": "610-973-1449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTIS",
        "first_name": "JUDITH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.