Individual provider Active NPI

Joshua Feldman, MSW, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1417475740
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023119 Issued in PA
Practice address
255 S 17TH St FL 9
Philadelphia, PA 19103-6209
Phone
(215) 608-0040
Fax
(267) 227-9989
NPI assigned
Sep 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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 CW023119 PA Primary

Addresses

Primary practice location

255 S 17TH St FL 9
Philadelphia, PA 19103-6209

Mailing address

255 S 17TH St FL 9
Philadelphia, PA 19103-6209
Phone (215) 608-0040

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
I20230104000937 PA Practitioner - Clinical Social Worker 3375913544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indlovu LLCGroup PAC ID 2961853353, 4 clinicians

Practice addresses (Care Compare)

255 S 17TH St
FL 9
Philadelphia, PA 19103-6209
Phone (215) 608-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW023119PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibria Psychological and Consultation Services, LLC CurrentSince Dec 15, 2022 Accepting new patients
Indlovu, LLC CurrentSince Aug 5, 2024 Accepting new patients

Locations

525 S 4th St
Ste 471
Philadelphia, PA 19147
Phone (215) 861-3685

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1417475740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST FL 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036209",
            "telephone_number": "215-608-0040",
            "fax_number": "267-227-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST FL 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036209",
            "telephone_number": "215-608-0040",
            "fax_number": "267-227-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "JOSHUA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.