Individual provider Active NPI

Shawn Newdeck, MSW

  • Clinical Social Worker
  • Fort Washington, PA
National Provider Identifier
1528397882
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015943 Issued in PA
Practice address
550 Pinetown Rd
350
Fort Washington, PA 19034-2605
Phone
(215) 643-0200
Fax
(215) 643-9844
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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 CW015943 PA Primary

Addresses

Primary practice location

550 Pinetown Rd
350
Fort Washington, PA 19034-2605

Mailing address

550 Pinetown Rd
350
Fort Washington, PA 19034-2605
Phone (215) 643-0200

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
I20231006002028 PA Practitioner - Clinical Social Worker 8224483581 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015943PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Aug 22, 2023 Accepting new patients
Ketan Patel MDPC Past Accepting new patients
Ron Lewis Associates Clinical PastSince Dec 21, 2007 Accepting new patients

Locations

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

1432 Easton Rd
Ste 4J
Warrington, PA 18976

1432 Easton Rd
Ste 5A
Warrington, PA 18976
Phone (215) 710-5234

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

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, 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": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1528397882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PINETOWN RD",
            "address_2": "350",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342605",
            "telephone_number": "215-643-0200",
            "fax_number": "215-643-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PINETOWN RD",
            "address_2": "350",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342605",
            "telephone_number": "215-643-0200",
            "fax_number": "215-643-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWDECK",
        "first_name": "SHAWN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.