Individual provider Active NPI

Lauren Weinberg, LCSW

  • Clinical Social Worker
  • Ardmore, PA
National Provider Identifier
1619232444
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017301 Issued in PA
Practice address
25 Llanfair Circle
Senior Behavioral Healthcare Group Inc.
Ardmore, PA 19003-3342
Phone
(610) 674-9676
Fax
(610) 649-4190
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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 CW017301 PA Primary

Addresses

Primary practice location

25 Llanfair Circle
Senior Behavioral Healthcare Group Inc.
Ardmore, PA 19003-3342

Mailing address

25 Llanfair Circle
Senior Behavioral Healthcare Group Inc
Ardmore, PA 19003-3342
Phone (610) 674-9676

Other names 1

  • Lauren Bronstein Other name

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
I20121221000163 PA Practitioner - Clinical Social Worker 2668624644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

3855 W Chester Pike
160 MLHC Women'S Emotional Wellness
Newtown Square, PA 19073-2304
Phone (484) 337-6310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017301PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince Mar 2, 2020 Accepting new patients
Senior Behavioral Healthcare Group, Inc Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

3855 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-6300

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1619232444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LLANFAIR CIRCLE",
            "address_2": "SENIOR BEHAVIORAL HEALTHCARE GROUP INC",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033342",
            "telephone_number": "610-674-9676",
            "fax_number": "610-649-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LLANFAIR CIRCLE",
            "address_2": "SENIOR BEHAVIORAL HEALTHCARE GROUP INC.",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033342",
            "telephone_number": "610-674-9676",
            "fax_number": "610-649-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BRONSTEIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ardmore, PA

Sources for this page

Verify at the official NPI Registry.