Individual provider Active NPI

Andrea Mockrik Porreca, MSS, LCSW

  • Clinical Social Worker
  • Abington, PA
National Provider Identifier
1295801686
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016067 Issued in PA
Practice address
1842 Woodland Rd
Abington, PA 19001-3812
Phone
(215) 886-1842
Fax
(215) 886-1799
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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 CW016067 PA Primary

Addresses

Primary practice location

1842 Woodland Rd
Abington, PA 19001-3812

Mailing address

1842 Woodland Rd
Abington, PA 19001-3812
Phone (215) 886-1842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016067PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1295801686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 WOODLAND RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013812",
            "telephone_number": "215-886-1842",
            "fax_number": "215-886-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 WOODLAND RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013812",
            "telephone_number": "215-886-1842",
            "fax_number": "215-886-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRECA",
        "first_name": "ANDREA",
        "middle_name": "MOCKRIK",
        "name_prefix": "Ms.",
        "credential": "MSS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.