Individual provider Active NPI

John Andrew Cahill, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1457568032
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW008456L Issued in PA
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

Updated by the provider on Jul 1, 2010

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 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

LicenseStateTypeSpecialty
SW5480FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.