Active NPI
Peter F Fischbeck, LCSW
- Clinical Social Worker
- Bryn Mawr, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW021504
- Practice address
- 850 W Lancaster Ave Ste 2
Bryn Mawr, PA 19010-3220 - Phone
- (610) 520-1510
- Fax
- (610) 520-1016
- NPI assigned
- Mar 2, 2021
- Last updated
- Mar 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW021504 | PA | Primary |
Addresses
Primary practice location
850 W Lancaster Ave Ste 2
Bryn Mawr, PA 19010-3220
Mailing address
850 W Lancaster Ave Ste 2
Bryn Mawr, PA 19010-3220
Phone (610) 520-1510
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5800 Walnut St
Rear
Philadelphia, PA 19139-3836
Phone (215) 474-4444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice & Counseling Services Network, Inc. | Current | Accepting new patients | |
| Resources for Human Development, Inc. | Current | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Current | Accepting new patients | |
| Sayre Health Center | Current | Accepting new patients |
Locations
850 W Lancaster Ave
Ste 2
Bryn Mawr, PA 19010
Phone (484) 383-0038
2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172
4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720
5800 Walnut St
Rear
Philadelphia, PA 19139
Phone (215) 474-4444
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73304
- https://fhir4.healow.com/fhir/r4/CHJCDD
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1831209113
-
dba LMCMS Peer Support
- Community/Behavioral Health Agency
- Bryn Mawr, PA
- NPI 1548395585
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1356335129
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1689357782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1194310219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W LANCASTER AVE STE 2",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103220",
"telephone_number": "610-520-1510",
"fax_number": "610-520-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W LANCASTER AVE STE 2",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103220",
"telephone_number": "610-520-1510",
"fax_number": "610-520-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHBECK",
"first_name": "PETER",
"middle_name": "F",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW021504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.