Individual provider Active NPI

Jean Febbo, LCSW

  • Clinical Social Worker
  • Bryn Mawr, PA
National Provider Identifier
1518178961
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015681 Issued in PA
Practice address
850 W Lancaster Ave
2ND Floor
Bryn Mawr, PA 19010-3220
Phone
(610) 520-1510
NPI assigned
May 25, 2007
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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 CW015681 PA Primary

Addresses

Primary practice location

850 W Lancaster Ave
2ND Floor
Bryn Mawr, PA 19010-3220

Mailing address

84 Kynlyn Rd
Wayne, PA 19087-2835
Phone (267) 885-7407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1518178961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 KYNLYN RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872835",
            "telephone_number": "267-885-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W LANCASTER AVE",
            "address_2": "2ND FLOOR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103220",
            "telephone_number": "610-520-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEBBO",
        "first_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.