Individual provider Active NPI

Janine M. Stoffey, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1508843459
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW009084L Issued in PA
Practice address
5675 N Front St
Philadelphia, PA 19120-2719
Phone
(215) 279-9666
Fax
(215) 279-9674
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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 CW009084L PA Primary

Addresses

Primary practice location

5675 N Front St
Philadelphia, PA 19120-2719

Mailing address

1500 Market Street
LM 500 West Tower
Philadelphia, PA 19120-2100
Phone (215) 985-2595

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
I20130226000039 PA Practitioner - Clinical Social Worker 6901051861 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
Group practices
Vitae Health Medical Pennsylvania LLCGroup PAC ID 4183014293, 11 clinicians

Practice addresses (Care Compare)

1113 Easton Rd
Willow Grove, PA 19090-1901
Phone (215) 830-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1508843459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET STREET",
            "address_2": "LM 500 WEST TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202100",
            "telephone_number": "215-985-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202719",
            "telephone_number": "215-279-9666",
            "fax_number": "215-279-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFEY",
        "first_name": "JANINE",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW009084L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.