Individual provider Active NPI

Rosemarie Reid, MHS, MSS, LSW

  • Clinical Social Worker
  • Bala Cynwyd, PA
National Provider Identifier
1386153518
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021358 Issued in PA
Practice address
191 Presidential Blvd Ste W3
Bala Cynwyd, PA 19004-1205
Phone
(215) 268-6056
Fax
(215) 754-1989
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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 CW021358 PA Primary

Addresses

Primary practice location

191 Presidential Blvd Ste W3
Bala Cynwyd, PA 19004-1205

Mailing address

191 Presidential Blvd Ste W3
Bala Cynwyd, PA 19004-1205
Phone (215) 268-6056

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
I20220928002552 PA Practitioner - Clinical Social Worker 3971988312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

191 Presidential Blvd
Suite W3
Bala Cynwyd, PA 19004-1205
Phone (215) 268-6056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW021358PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
For Me Talk Therapy Clinical CurrentSince Jun 4, 2022 Accepting new patients

Locations

191 Presidential Blvd
Ste W3
Bala Cynwyd, PA 19004
Phone (215) 268-6056

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1386153518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 PRESIDENTIAL BLVD STE W3",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041205",
            "telephone_number": "215-268-6056",
            "fax_number": "215-754-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PRESIDENTIAL BLVD STE W3",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041205",
            "telephone_number": "215-268-6056",
            "fax_number": "215-754-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ROSEMARIE",
        "credential": "MHS, MSS, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.