Individual provider Active NPI

Rosemary A Crisfulla

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1407098635
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW126897 Issued in PA
Practice address
3901 Market St
Box 1934
Philadelphia, PA 19104-3133
Phone
(215) 243-2816
Fax
(215) 387-7989
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW126897 PA Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

3901 Market St
Box 1934
Philadelphia, PA 19104-3133

Mailing address

1216 Arch St
6TH Floor
Philadelphia, PA 19107-2835
Phone (215) 981-0088

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
I20150512002208 PA Practitioner - Clinical Social Worker 0345569414 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Hearts Wellness, LLCGroup PAC ID 0648515973, 2 clinicians

Practice addresses (Care Compare)

967 E Swedesford Rd
Suite 100B
Exton, PA 19341-2332
Phone (610) 790-3442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW126897PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Counseling Services Network, Inc. CurrentSince Mar 23, 2015 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Mar 23, 2015 Accepting new patients
Psycare Solutions Inc CurrentSince Sep 3, 2019 Accepting new patients
Healing Hearts Wellness, LLC CurrentSince Jan 30, 2022 Accepting new patients
Resources for Human Development, Inc. Current Accepting new patients
Actionaids, Inc. Social Worker PastSince Jan 26, 2025 Accepting new patients

Locations

8302 Old York Rd
Ste B12
Elkins Park, PA 19027
Phone (215) 885-9700

967 E Swedesford Rd
Ste 100B
Exton, PA 19341
Phone (610) 790-3442

967 E Swedesford Rd
Ste 100
Exton, PA 19341
Phone (610) 240-4827

3901 Market St
Ste 1934
Philadelphia, PA 19104
Phone (215) 243-2800

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

Organizations & group practices 6

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1407098635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 ARCH ST",
            "address_2": "6TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072835",
            "telephone_number": "215-981-0088",
            "fax_number": "215-864-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MARKET ST",
            "address_2": "BOX 1934",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043133",
            "telephone_number": "215-243-2816",
            "fax_number": "215-387-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISFULLA",
        "first_name": "ROSEMARY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126897",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.