Mark Walthofer, MASTER OF SOCIAL WOR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013521 Issued in PA

Practice address

510 N Park Rd
Wyomissing, PA 19610-2941

Phone

(610) 507-2657

Fax

(610) 507-2657

NPI assigned

Mar 23, 2007

Last updated

May 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sri Psychological Services PCGroup PAC ID 1456331214, 34 clinicians

Mindy Staum LCSW PAGroup PAC ID 5890952998, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Sri Psychological Services, PC

  dba SRI Psychological Services

  • Psychologist
  • Jenkintown, PA
  • NPI 1730259904
  Medicare reassignment Care Compare group NPD
• Mindy Staum, LCSW, P.a

  • Clinical Social Worker
  • Coral Springs, FL
  • NPI 1083922561

  PA

  Medicare reassignment Care Compare group NPD
• Hearthfire Psychology, PLLC

  • Psychologist
  • Wyomissing, PA
  • NPI 1194371765

  Clinical

  Medicare reassignment NPD
• Ramesh B Eluri MD PC

  • Psychiatry Physician
  • Royersford, PA
  • NPI 1871610956
  Medicare reassignment NPD
• Reading Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Shillington, PA
  • NPI 1760954614
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1609993732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N PARK RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102941",
            "telephone_number": "610-507-2657",
            "fax_number": "610-507-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N PARK RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102941",
            "telephone_number": "610-507-2657",
            "fax_number": "610-507-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTHOFER",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "MASTER OF SOCIAL WOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy J Walker, MPT, CWS
• Nancy J. Walker, M.D.
• Jane Ann Wallace, LPC
• Jessica Renee Walter, MSCCC-SLP
• Melissa Walters, SLP
• Holly Wamsher, PSY.D., BSL
• Ziyu Wang
• Renee Waring
• Lori Ann Warne, LCSW
• Leah R Wartluft, M.D.

• Clinical Social Worker in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.