Individual provider Active NPI

Christopher Sydney Diggles, PA. LCSW, BCD, QCSW

  • Clinical Social Worker
  • Willow Grove, PA
National Provider Identifier
1194939892
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013510 Issued in PA
Practice address
302 Cameron Rd
Willow Grove, PA 19090-2408
Phone
(215) 498-2482
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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 CW013510 PA Primary

Addresses

Primary practice location

302 Cameron Rd
Willow Grove, PA 19090-2408

Mailing address

302 Cameron Rd
NA
Willow Grove, PA 19090-2408
Phone (215) 498-2482

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
I20220926000268 PA Practitioner - Clinical Social Worker 1456736644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigitte Dechiaro PCGroup PAC ID 2567838899, 2 clinicians

Practice addresses (Care Compare)

1352 Easton Rd
Suite 7
Warrington, PA 18976-1852
Phone (215) 518-0508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013510PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brigitte Dechiaro, PC CurrentSince Sep 1, 2022 Accepting new patients

Locations

1432 Easton Rd
Ste 4F
Warrington, PA 18976
Phone (267) 337-7372

1352 Easton Rd
Ste 7
Warrington, PA 18976
Phone (215) 518-0508

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1194939892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CAMERON RD",
            "address_2": "NA",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902408",
            "telephone_number": "215-498-2482",
            "fax_number": "215-659-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CAMERON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902408",
            "telephone_number": "215-498-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGGLES",
        "first_name": "CHRISTOPHER",
        "middle_name": "SYDNEY",
        "name_prefix": "Mr.",
        "credential": "PA. LCSW, BCD, QCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.