Sammy Chebolio, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW130259 Issued in PA

Practice address

503 Washington Ave Ste 1a
Newtown, PA 18940-2153

Phone

(215) 390-1941

NPI assigned

Feb 15, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Sammy Chebolio Professional name

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1497294045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BORDER ROCK RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190573054",
            "telephone_number": "215-390-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 WASHINGTON AVE STE 1A",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402153",
            "telephone_number": "215-390-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEBOLIO",
        "first_name": "SAMMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMMY",
            "last_name": "CHEBOLIO",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Patrick Chapman, LPC
• Michael Chavez, DC
• Joseph Anthony Checchio, DDS
• Janet Ann Cheyney, LPC
• Children'S Hospital of Philadelphia
• Chinese Medicine Center
• Michele Maria Chiolan, AUD

• Social Worker in Newtown, PA
• Providers in Newtown, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.