Active NPI
Phyllis Littman
- Clinical Social Worker
- Malvern, PA
National Provider Identifier
1619372174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW012021
- Practice address
- 45 Creekside LN
Apartment 315
Malvern, PA 19355-3217 - Phone
- (610) 935-2770
- NPI assigned
- Oct 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW012021 | PA | Primary |
Addresses
Primary practice location
45 Creekside LN
Apartment 315
Malvern, PA 19355-3217
Mailing address
45 Creekside Lane
Apartment 315
Malvern, PA 19355
Phone (610) 935-2770
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Temple University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1630 E High St
BLDG 4
Pottstown, PA 19464-3244
Phone (610) 327-1631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW012021 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yong Shik Shin MD and Associates LLC | Clinical | Current | Accepting new patients |
| Collegeville Psychological Center Inc | Clinical | Past | Accepting new patients |
Locations
1630 E High St
Bldg 4
Pottstown, PA 19464
Phone (610) 326-7880
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": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1619372174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CREEKSIDE LANE",
"address_2": "APARTMENT 315",
"city": "MALVERN",
"state": "PA",
"postal_code": "19355",
"telephone_number": "610-935-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CREEKSIDE LN",
"address_2": "APARTMENT 315",
"city": "MALVERN",
"state": "PA",
"postal_code": "193553217",
"telephone_number": "610-935-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTMAN",
"first_name": "PHYLLIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW012021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.