Individual provider Active NPI

Miriam K Paikoff, MSW

  • Clinical Social Worker
  • Media, PA
National Provider Identifier
1497839690
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017639 Issued in PA
Practice address
105 W Third St
Media, PA 19063-2401
Phone
(610) 883-3665
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 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 CW017639 PA Primary

Addresses

Primary practice location

105 W Third St
Media, PA 19063-2401

Mailing address

1167 W Baltimore Pike Ste 147
Media, PA 19063-5121
Phone (610) 883-3665

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
I20151022002777 PA Practitioner - Clinical Social Worker 7911216478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MG Therapeutic Services LLCGroup PAC ID 7517187115, 3 clinicians
Agewell Health Services LLCGroup PAC ID 1153890025, 5 clinicians

Practice addresses (Care Compare)

100 W 6TH St
Suite 305
Media, PA 19063-2428
Phone (484) 445-4147

251 Rock Hill Rd
Bala Cynwyd, PA 19004-2062
Phone (732) 814-9428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MG Therapeutic Services LLC CurrentSince Jan 16, 2023 Accepting new patients
Main Line Affiliates Past Accepting new patients

Locations

100 W Sixth St
Ste 305
Media, PA 19063
Phone (484) 445-4147

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1497839690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 W BALTIMORE PIKE STE 147",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635121",
            "telephone_number": "610-883-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W THIRD ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632401",
            "telephone_number": "610-883-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIKOFF",
        "first_name": "MIRIAM",
        "middle_name": "K",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.