Individual provider Active NPI

Carole A Nehez, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1376994855
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019111 Issued in PA
Practice address
313 S 16TH St
Philadelphia School of Pscyhoanalysis
Philadelphia, PA 19102-4908
Phone
(215) 732-8244
Fax
(215) 732-8454
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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 CW019111 PA Primary

Addresses

Primary practice location

313 S 16TH St
Philadelphia School of Pscyhoanalysis
Philadelphia, PA 19102-4908

Mailing address

608 S Mount Pleasant Rd
Philadelphia, PA 19119-2957
Phone (267) 257-5009

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
I20160805000163 PA Practitioner - Clinical Social Worker 8628362282 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1518 Waverly St
Philadelphia, PA 19146-1633
Phone (264) 257-5009

313 S 16TH St
Philadelphia, PA 19102-4908
Phone (267) 257-5009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia School of Psychoanalysis Clinical Past Accepting new patients
Red Oak Psychotherapy LLC Clinical Past Accepting new patients

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1376994855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S MOUNT PLEASANT RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192957",
            "telephone_number": "267-257-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 16TH ST",
            "address_2": "PHILADELPHIA SCHOOL OF PSCYHOANALYSIS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024908",
            "telephone_number": "215-732-8244",
            "fax_number": "215-732-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEHEZ",
        "first_name": "CAROLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.