Active NPI
John Andrew Cahill, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1457568032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW008456L
- Practice address
- 6012 Ridge Ave
Interac Geriatric Counseling Service
Philadelphia, PA 19128-1643 - Phone
- (215) 487-1990
- Fax
- (215) 487-1992
- NPI assigned
- May 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW008456L | PA | Primary |
| Clinical Social Worker | 1041C0700X | SW5480 | FL |
Addresses
Primary practice location
6012 Ridge Ave
Interac Geriatric Counseling Service
Philadelphia, PA 19128-1643
Mailing address
7246 Hazel Ave
Apt. a-3
Upper Darby, PA 19082-3040
Phone (610) 352-4495
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW5480 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercommunity Action, Inc | 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.
-
- Community/Behavioral Health Agency
- Phila, PA
- NPI 1730224445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1457568032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7246 HAZEL AVE",
"address_2": "APT. A-3",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190823040",
"telephone_number": "610-352-4495",
"fax_number": "215-487-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6012 RIDGE AVE",
"address_2": "INTERAC GERIATRIC COUNSELING SERVICE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281643",
"telephone_number": "215-487-1990",
"fax_number": "215-487-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAHILL",
"first_name": "JOHN",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW008456L",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW5480",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.