Individual provider Active NPI

Dawn M Marple Gise, LCSW

  • Clinical Social Worker
  • Malvern, PA
National Provider Identifier
1487824470
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014400 Issued in PA
Practice address
617B Swedesford Rd
Malvern, PA 19355-1530
Phone
(610) 251-0821
Fax
(610) 251-0822
NPI assigned
Mar 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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 CW014400 PA Primary

Addresses

Primary practice location

617B Swedesford Rd
Malvern, PA 19355-1530

Mailing address

617B Swedesford Rd
Malvern, PA 19355-1530
Phone (610) 251-0821

Other names 1

  • Ms. Dawn Marple Former name

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
I20040116000050 PA Practitioner - Clinical Social Worker 3173424801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

617 B Swedesford Rd
Malvern, PA 19355-1530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW014400PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Self Expressions Clinical Past Accepting new patients

Organizations & group practices 2

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1487824470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617B SWEDESFORD RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551530",
            "telephone_number": "610-251-0821",
            "fax_number": "610-251-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617B SWEDESFORD RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551530",
            "telephone_number": "610-251-0821",
            "fax_number": "610-251-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARPLE GISE",
        "first_name": "DAWN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "MARPLE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.