Individual provider Active NPI

Elva M Degeorge, LCSW

  • Clinical Social Worker
  • Willow Grove, PA
National Provider Identifier
1265760276
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013152 Issued in PA
Practice address
415 Davisville Rd Ste 5
Willow Grove, PA 19090-2700
Phone
(267) 300-3164
NPI assigned
Dec 2, 2009
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 CW013152 PA Primary

Addresses

Primary practice location

415 Davisville Rd Ste 5
Willow Grove, PA 19090-2700

Mailing address

415 Davisville Rd Ste 5
Willow Grove, PA 19090-2700
Phone (267) 300-3164

Other practice location 1

4 Cornerstone Dr
Langhorne, PA 19047-1314
Phone (215) 757-6916

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
I20100603000284 PA Practitioner - Clinical Social Worker 3375672181 Practice locations: Willow Grove, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

415 Davisville Rd
Suite 5
Willow Grove, PA 19090-2700
Phone (267) 300-3164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013152PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elva Degeorge, LCSW Clinical CurrentSince Oct 23, 2022 Accepting new patients

Locations

415 Davisville Rd
Ste 5
Willow Grove, PA 19090
Phone (267) 300-3164

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, 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": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1265760276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 DAVISVILLE RD STE 5",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902700",
            "telephone_number": "267-300-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 DAVISVILLE RD STE 5",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902700",
            "telephone_number": "267-300-3164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Cornerstone Dr",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471314",
            "country_code": "US",
            "telephone_number": "215-757-6916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGEORGE",
        "first_name": "ELVA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.