Individual provider Active NPI

Mary Huff

  • Clinical Social Worker
  • Wynnewood, PA
National Provider Identifier
1407191711
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW 017567 Issued in PA
Practice address
228 Indian Creek Rd
Wynnewood, PA 19096-3404
Phone
(302) 650-2460
NPI assigned
Nov 28, 2012
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001178 DE
Clinical Social Worker 1041C0700X CW 017567 PA Primary

Addresses

Primary practice location

228 Indian Creek Rd
Wynnewood, PA 19096-3404

Mailing address

228 Indian Creek Rd
Wynnewood, PA 19096-3404
Phone (302) 650-2460

Other practice location 1

1500 Shallcross Ave
Suite 2
Wilmington, DE 19806-3037
Phone (302) 650-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130510000215 DE Practitioner - Clinical Social Worker 8325285380 Practice locations: Hockessin, PA
I20200828001977 PA Practitioner - Clinical Social Worker 8325285380 Practice locations: Wynnewood, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

228 Indian Creek Rd
Wynnewood, PA 19096-3404
Phone (302) 650-2460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001178DEMDClinical Social Worker
CW 017567PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1407191711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 INDIAN CREEK RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963404",
            "telephone_number": "302-650-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 INDIAN CREEK RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963404",
            "telephone_number": "302-650-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Shallcross Ave",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198063037",
            "country_code": "US",
            "telephone_number": "302-650-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUFF",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001178",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW 017567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.