Individual provider Active NPI

Andrea Doyle, PHD, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1235420647
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016926 Issued in PA
Practice address
3701 Locust Walk
Philadelphia, PA 19104-6214
Phone
(215) 746-5486
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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 CW016926 PA Primary
Clinical Social Worker 1041C0700X 44SC05457800 NJ

Addresses

Primary practice location

3701 Locust Walk
Philadelphia, PA 19104-6214

Mailing address

5148 Chancellor St
Philadelphia, PA 19139-4109
Phone (215) 746-5486

Other identifiers 1

IdentifierTypeStateIssuer
CW016926OtherPAPA STATE BOARD OF SOCIAL WORKERS, MARITAL AND FAMILY THERAPISTS, AND PROFESSIONA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20190107002182 WV Practitioner - Clinical Social Worker 9537345483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

930 Chestnut Ridge Rd
Morgantown, WV 26505-2854
Phone (304) 293-5299

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
44SC05457800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University Hematology and Oncology CurrentSince Dec 1, 2018 Accepting new patients
West Virginia University Medical Corporation Current Accepting new patients
West Virginia University Medical Corporation CurrentSince Dec 1, 2018 Accepting new patients

Locations

930 Chestnut Ridge Rd
Morgantown, WV 26505
Phone (304) 293-5299

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • FHIR API: https://apps.mywvuchart.com/fhirproxy/api/FHIR/R4/

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1235420647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 CHANCELLOR ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394109",
            "telephone_number": "215-746-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 LOCUST WALK",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191046214",
            "telephone_number": "215-746-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016926",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05457800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE BOARD OF SOCIAL WORKERS, MARITAL AND FAMILY THERAPISTS, AND PROFESSIONA",
            "identifier": "CW016926",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.