Individual provider Active NPI

Carol Cameron Cready-Pyle, LCSW

  • Clinical Social Worker
  • Drexel Hill, PA
National Provider Identifier
1255981700
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022570 Issued in PA
Practice address
931 Anderson Ave
Drexel Hill, PA 19026-4407
Phone
(610) 756-9880
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 CW022570 PA Primary

Addresses

Primary practice location

931 Anderson Ave
Drexel Hill, PA 19026-4407

Mailing address

755 W Lancaster Ave # 1064
Bryn Mawr, PA 19010-3401
Phone (412) 225-0902

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
I20230711000025 PA Practitioner - Clinical Social Worker 2365801230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW022570PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Mending Space LLC Current Accepting new patients
Thrive Counseling LLC CurrentSince Jun 27, 2023 Accepting new patients

Locations

600 N Jackson St
Ste 300
Media, PA 19063
Phone (610) 557-1991

Organizations & group practices 2

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1255981700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W LANCASTER AVE # 1064",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103401",
            "telephone_number": "412-225-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 ANDERSON AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264407",
            "telephone_number": "610-756-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREADY-PYLE",
        "first_name": "CAROL",
        "middle_name": "CAMERON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.