Individual provider Active NPI

Sandy Weiner, LCSW

  • Clinical Social Worker
  • Fort Washington, PA
National Provider Identifier
1225068380
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015527 Issued in PA
Practice address
550 Pinetown Rd
Suite350
Ft Washington, PA 19034-2605
Phone
(215) 643-0200
Fax
(215) 643-9844
NPI assigned
Jul 4, 2006
Last updated
Feb 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC04655200 NJ
Clinical Social Worker 1041C0700X CW015527 PA Primary

Addresses

Primary practice location

550 Pinetown Rd
Suite350
Ft Washington, PA 19034-2605

Mailing address

550 Pinetown Rd
Suite350
Ft Washington, PA 19034-2605
Phone (215) 643-0200

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
I20150219000708 PA Practitioner - Clinical Social Worker 9032156286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yong Shik Shin MD and Associates LLCGroup PAC ID 5193751659, 8 clinicians

Practice addresses (Care Compare)

1630 E High St
BLDG 4
Pottstown, PA 19464-3244
Phone (610) 327-1631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC04655200NJMDClinical Social Worker
CW015527PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yong Shik Shin MD and Associates LLC Clinical CurrentSince Dec 1, 2014 Accepting new patients
Ketan Patel MDPC Past Accepting new patients
Ron Lewis Associates Clinical PastSince Dec 21, 2007 Accepting new patients
Catholic Charities, Diocese of Metuchen Past Accepting new patients

Locations

1630 E High St
Bldg 4
Pottstown, PA 19464
Phone (610) 326-7880

1800 E High St
Ste 150
Pottstown, PA 19464

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1225068380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PINETOWN RD",
            "address_2": "SUITE350",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190342605",
            "telephone_number": "215-643-0200",
            "fax_number": "215-643-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PINETOWN RD",
            "address_2": "SUITE350",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190342605",
            "telephone_number": "215-643-0200",
            "fax_number": "215-643-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "SANDY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC04655200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.