Individual provider Active NPI

Marta Pawlaczek

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1487391421
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026395 Issued in PA
Practice address
405 E Phil Ellena St
Philadelphia, PA 19119-1944
Phone
(646) 589-2060
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 CW026395 PA Primary

Addresses

Primary practice location

405 E Phil Ellena St
Philadelphia, PA 19119-1944

Mailing address

405 E Phil Ellena St
Philadelphia, PA 19119-1944
Phone (646) 589-2060

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
I20260117000018 PA Practitioner - Clinical Social Worker 9032696380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1999 W Hunting Park Ave
Philadelphia, PA 19140-2828
Phone (215) 228-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW026395PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Feb 1, 2026 Accepting new patients

Locations

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1999 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 228-9300

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

3223 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2900

Organizations & group practices 3

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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1487391421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E PHIL ELLENA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191944",
            "telephone_number": "646-589-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E PHIL ELLENA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191944",
            "telephone_number": "646-589-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLACZEK",
        "first_name": "MARTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.