Active NPI
Andrea Doyle, PHD, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1235420647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016926
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CW016926 | Other | PA | PA 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05457800 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hematology and Oncology | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | 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
- 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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Clinical Medical Laboratory
- Martinsburg, WV
- NPI 1306125612
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.