Active NPI
Adam Joseph Rzepka, LSW
- Social Worker
- Philadelphia, PA
National Provider Identifier
1548879836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW137181
- Practice address
- 2514 N Broad St
Philadelphia, PA 19132-4013 - Phone
- (215) 599-2845
- NPI assigned
- Jul 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW137181 | PA | Primary |
Addresses
Primary practice location
2514 N Broad St
Philadelphia, PA 19132-4013
Mailing address
902 Tree St
Philadelphia, PA 19148-3122
Phone (215) 779-2992
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Philadelphia | WES Health Systems |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW137181 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Management Corporation | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients |
Locations
1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212
5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440
1900 N 9th St
Ste 104
Philadelphia, PA 19122
Phone (215) 735-6690
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1467776989
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1881779866
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1932245099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1548879836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 TREE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483122",
"telephone_number": "215-779-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191324013",
"telephone_number": "215-599-2845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RZEPKA",
"first_name": "ADAM",
"middle_name": "JOSEPH",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-23",
"last_updated": "2023-11-27",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW137181",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Philadelphia",
"affiliation": "Y",
"affiliationName": "WES Health Systems",
"address_1": "2514 N Broad St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191324013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.