Individual provider Active NPI

Eileen P. Schrader, LCSW

  • Clinical Social Worker
  • West Chester, PA
National Provider Identifier
1396956454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
#CW013762 Issued in PA
Practice address
1515 W Chester Pike
Unit a-3
West Chester, PA 19382-7778
Phone
(610) 431-0340
Fax
(610) 701-5752
NPI assigned
May 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 #CW013762 PA Primary

Addresses

Primary practice location

1515 W Chester Pike
Unit a-3
West Chester, PA 19382-7778

Mailing address

1515 W Chester Pike
Unit a-3
West Chester, PA 19382-7778
Phone (610) 431-0340

Other identifiers 1

IdentifierTypeStateIssuer
2071778000OtherPABLUE CROSS PROVIDER NUMBE

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
I20251231001602 PA Practitioner - Clinical Social Worker 5395231161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
#CW013762PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Clinical CurrentSince Nov 18, 2025 Accepting new patients

Locations

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396956454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W CHESTER PIKE",
            "address_2": "UNIT A-3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827778",
            "telephone_number": "610-431-0340",
            "fax_number": "610-701-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W CHESTER PIKE",
            "address_2": "UNIT A-3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827778",
            "telephone_number": "610-431-0340",
            "fax_number": "610-701-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "EILEEN",
        "middle_name": "P.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "#CW013762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "2071778000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.