Lisa Hallahan, LCSW
Individual provider Active NPI Clinical Social Worker · Blue Bell, PA
NPI 1316210883 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1316210883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CW016833 (PA)
- Practice address
- 1717 Swede Rd Ste 207
Blue Bell, PA 19422-3372 - Phone
- (610) 733-9194
- NPI assigned
- Feb 14, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1250 Old York Rd
Unit 101
Warminster, PA 18974-2013
Phone (484) 680-2008
1260 Old York Rd
Warminster, PA 18974-2013
1717 Swede Rd
Suite 207
Blue Bell, PA 19422-3372
Phone (610) 733-9194
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120413000306 | PA | Practitioner - Clinical Social Worker | 3173784493 |
Reassigns benefits to 1 organization Practice locations: Blue Bell, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW016833 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MWS Wellness Corp | Current |
Accepting new patients | |
| Community Health and Dental Care, Inc | Current |
Accepting new patients | |
| Community Health and Dental Care, Inc | Current |
Accepting new patients |
Locations
351 W Schuylkill Rd
Ste G15A
Pottstown, PA 19465
Phone (484) 948-3097
700 Heritage Dr
Ste 701
Pottstown, PA 19464
Phone 6103269460193
1260 Old York Rd
Warminster, PA 18974
Phone (215) 293-0744
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | CW016833 | PA | Yes |
Addresses
Primary practice location
1717 Swede Rd Ste 207
Blue Bell, PA 19422-3372
Mailing address
1717 Swede Rd Ste 207
Blue Bell, PA 19422-3372
Phone (610) 733-9194
Other providers in Blue Bell, PA
- Eugene Gregory Haas
- Wendy Hafner
- Kelly Haines
- Unnati Hajari
- Christen Caradine Hall
- Khadijah Hamidullah
- Michele Hamilton
- Derek Alan Hammacher
- Susan M. Hammond
- Barbara Ellen Hanlon
All providers in Blue Bell, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.