Individual provider Active NPI

Troy L Brindle, M.S.W. L.C.S.W.

  • Clinical Social Worker
  • Havertown, PA
National Provider Identifier
1427014109
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012964 Issued in PA
Practice address
920 W Chester Pike
Havertown, PA 19083-4415
Phone
(610) 544-2110
Fax
(610) 604-9510
NPI assigned
Apr 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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 CW012964 PA Primary

Addresses

Primary practice location

920 W Chester Pike
Havertown, PA 19083-4415

Mailing address

920 W Chester Pike
Havertown, PA 19083-4415
Phone (610) 544-2110

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
I20071114000497 PA Practitioner - Clinical Social Worker 6901994557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cognitive Behavior Institute, LLCGroup PAC ID 7810213337, 30 clinicians

Practice addresses (Care Compare)

125 Emeryville Dr
230 Cognitive Behavior Institute
Cranberry TWP, PA 16066-5013
Phone (724) 609-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Behavior Institute, LLC Clinical CurrentSince Sep 1, 2024 Accepting new patients

Locations

125 Emeryville Dr
Ste 230
Cranberry Twp, PA 16066
Phone (724) 609-5002

5 Saint Francis Way
Cranberry Twp, PA 16066
Phone (724) 772-5350

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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1427014109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834415",
            "telephone_number": "610-544-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834415",
            "telephone_number": "610-544-2110",
            "fax_number": "610-604-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINDLE",
        "first_name": "TROY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "M.S.W. L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.