Active NPI
Jodie Carvalho, LCSW
- Clinical Social Worker
- Conshohocken, PA
National Provider Identifier
1295292795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW020365
- Practice address
- 101 E 8TH Ave Ste 107
Conshohocken, PA 19428-1771 - Phone
- (267) 388-0815
- NPI assigned
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW020365 | PA | Primary |
Addresses
Primary practice location
101 E 8TH Ave Ste 107
Conshohocken, PA 19428-1771
Mailing address
101 E 8TH Ave Ste 107
Conshohocken, PA 19428-1771
Phone (267) 388-0815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 27, 2024 through Sep 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW020365 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1295292795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E 8TH AVE STE 107",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281771",
"telephone_number": "267-388-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E 8TH AVE STE 107",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281771",
"telephone_number": "267-388-0815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVALHO",
"first_name": "JODIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW020365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.