Individual provider Active NPI

Bethany Anne Caldwell, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1609747609
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025840 Issued in PA
Practice address
500 N 13TH St
Philadelphia, PA 19123-3955
Phone
(267) 636-6008
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801097217 MI
Clinical Social Worker 1041C0700X CW025840 PA Primary

Addresses

Primary practice location

500 N 13TH St
Philadelphia, PA 19123-3955

Mailing address

500 N 13TH St
Philadelphia, PA 19123-3955
Phone (267) 636-6008

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
I20251121002085 PA Practitioner - Clinical Social Worker 4486146024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4410 Larchwood Ave
Philadelphia, PA 19104-3916

500 N 13TH St
Philadelphia, PA 19123-3955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097217MIMDClinical Social Worker
CW025840PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neutral Ground Healing Collective, LLC Clinical CurrentSince Oct 13, 2025 Accepting new patients
Rooted in Compassion, LLC Clinical CurrentSince Jun 15, 2025 Accepting new patients

Organizations & group practices 2

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": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1609747609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N 13TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233955",
            "telephone_number": "267-636-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 13TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233955",
            "telephone_number": "267-636-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "BETHANY",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097217",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.