Individual provider Active NPI

Amy L Hostetter, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1255841912
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020455 Issued in PA
Practice address
251 W Rittenhouse St Apt 304
Philadelphia, PA 19144-3358
Phone
(571) 594-3460
Fax
(855) 582-1550
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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 CW020455 PA Primary

Addresses

Primary practice location

251 W Rittenhouse St Apt 304
Philadelphia, PA 19144-3358

Mailing address

251 W Rittenhouse St Apt 304
Philadelphia, PA 19144-3358
Phone (571) 594-3460

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
I20200214000590 PA Practitioner - Clinical Social Worker 3375895360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GKSW Crystal Group AssociatesGroup PAC ID 7810898152, 14 clinicians

Practice addresses (Care Compare)

8200 Flourtown Ave
Wyndmoor, PA 19038-7969
Phone (215) 233-3994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW020455PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
GKSW Crystal Group Associates Clinical CurrentSince Jan 1, 2020 Accepting new patients

Locations

8200 Flourtown Ave
Ste 8
Wyndmoor, PA 19038
Phone (215) 233-3994

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1255841912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W RITTENHOUSE ST APT 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443358",
            "telephone_number": "571-594-3460",
            "fax_number": "855-582-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W RITTENHOUSE ST APT 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443358",
            "telephone_number": "571-594-3460",
            "fax_number": "855-582-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETTER",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.