Individual provider Active NPI

Caitlin McElvenny, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1457929374
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021796 Issued in PA
Practice address
1211 Chestnut St Ste 605
Philadelphia, PA 19107-4117
Phone
(215) 525-8657
Fax
(215) 988-9062
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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 CW021796 PA Primary

Addresses

Primary practice location

1211 Chestnut St Ste 605
Philadelphia, PA 19107-4117

Mailing address

1233 Locust St FL 3
Philadelphia, PA 19107-5400
Phone (215) 985-4448

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
I20210708000011 PA Practitioner - Clinical Social Worker 9032511449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

101 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3120
Phone (484) 337-8767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince Oct 31, 2022 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

101 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 526-2200

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1457929374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 LOCUST ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075400",
            "telephone_number": "215-985-4448",
            "fax_number": "215-732-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CHESTNUT ST STE 605",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074117",
            "telephone_number": "215-525-8657",
            "fax_number": "215-988-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELVENNY",
        "first_name": "CAITLIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.