Active NPI
Shevin Smith-Ward
- Clinical Social Worker
- Langhorne, PA
National Provider Identifier
1427585397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW021543
- Practice address
- 4 Cornerstone Dr
Langhorne, PA 19047-1314 - Phone
- (215) 757-6916
- NPI assigned
- May 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW021543 | PA | Primary |
Addresses
Primary practice location
4 Cornerstone Dr
Langhorne, PA 19047-1314
Mailing address
4 Cornerstone Dr
Langhorne, PA 19047-1314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvin Behavioral Health Ma PC | Clinical | Past | Accepting new patients |
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": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1427585397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CORNERSTONE DR",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CORNERSTONE DR",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471314",
"telephone_number": "215-757-6916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-WARD",
"first_name": "SHEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-22",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW021543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.