Individual provider Active NPI

Nancy Shifra Shapiro, LCSW

  • Clinical Social Worker
  • Media, PA
National Provider Identifier
1629103676
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013538 Issued in PA
Practice address
401 W Front St
2ND Floor
Media, PA 19063-2634
Phone
(610) 566-7691
Fax
(610) 672-9727
NPI assigned
Feb 22, 2007
Last updated
Apr 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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 CW013538 PA Primary

Addresses

Primary practice location

401 W Front St
2ND Floor
Media, PA 19063-2634

Mailing address

6 Roylencroft LN
Rose Valley, PA 19063-4237
Phone (610) 566-7691

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
I20150831000907 PA Practitioner - Clinical Social Worker 2466768817 Practice locations: Media, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

401 W Front St
ST2
Media, PA 19063-2634
Phone (610) 566-7691

6 Roylencroft Lane
Media, PA 19063-2634

6 Roylencroft LN
Rose Valley, PA 19063-4237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1629103676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROYLENCROFT LN",
            "city": "ROSE VALLEY",
            "state": "PA",
            "postal_code": "190634237",
            "telephone_number": "610-566-7691",
            "fax_number": "610-672-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W FRONT ST",
            "address_2": "2ND FLOOR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632634",
            "telephone_number": "610-566-7691",
            "fax_number": "610-672-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "NANCY",
        "middle_name": "SHIFRA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.