Individual provider Active NPI

Hilary Reichlin

  • Clinical Social Worker
  • Havertown, PA
National Provider Identifier
1518253095
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016725 Issued in PA
Practice address
525 W Chester Pike
Falcon Center Suite 205
Havertown, PA 19083-4500
Phone
(610) 644-6464
NPI assigned
Jun 23, 2011
Last updated
Jun 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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 CW016725 PA Primary

Addresses

Primary practice location

525 W Chester Pike
Falcon Center Suite 205
Havertown, PA 19083-4500

Mailing address

1440 Russell Rd
Paoli, PA 19301-1236
Phone (610) 644-6464

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
I20160304000029 PA Practitioner - Clinical Social Worker 9638475452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Services IncGroup PAC ID 0840242467, 21 clinicians

Practice addresses (Care Compare)

1415 N Broad St
Suite 224
Philadelphia, PA 19122-3325
Phone (267) 275-4095

5201 Haverford Ave
Philadelphia, PA 19139-1401
Phone (267) 275-4095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016725PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Services, Inc. CurrentSince Jan 12, 2016 Accepting new patients
Spectrum Health Services, Inc. Current Accepting new patients
Spectrum Health Services Inc CurrentSince Jan 12, 2016 Accepting new patients
Life Management Inc Past Accepting new patients

Locations

1415 N Broad St
Ste 224
Philadelphia, PA 19122
Phone (267) 275-4095

5201 Haverford Ave
Philadelphia, PA 19139
Phone (215) 472-6097

Interoperability endpoints

  • Direct secure messaging: hilary.reichlin.1@20090.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1518253095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 RUSSELL RD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011236",
            "telephone_number": "610-644-6464",
            "fax_number": "610-644-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W CHESTER PIKE",
            "address_2": "FALCON CENTER SUITE 205",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834500",
            "telephone_number": "610-644-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHLIN",
        "first_name": "HILARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.