Individual provider Active NPI

Adam Joseph Rzepka, LSW

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1548879836
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW137181 Issued in PA
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

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW137181PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince Aug 13, 2023 Accepting new patients
Public Health Management Corporation CurrentSince Aug 13, 2023 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.

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

Verify at the official NPI Registry.