Individual provider Active NPI

Michael Joseph Cipressi, LCSW

  • Clinical Social Worker
  • Lafayette Hill, PA
National Provider Identifier
1629393517
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014224 Issued in PA
Practice address
452 Germantown Pike
Lafayette Hill, PA 19444-1805
Phone
(215) 360-7045
NPI assigned
Apr 2, 2010
Last updated
Apr 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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 CW014224 PA Primary

Addresses

Primary practice location

452 Germantown Pike
Lafayette Hill, PA 19444-1805

Mailing address

644 Rector St
Philadelphia, PA 19128-1733
Phone (215) 360-7045

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
I20180130002658 PA Practitioner - Clinical Social Worker 0345500971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Growth and Recovery Center Inc.Group PAC ID 7214074681, 5 clinicians

Practice addresses (Care Compare)

452 Germantown Pike
Lafayette Hill, PA 19444-1805
Phone (610) 828-4298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW014224PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Growth and Recovery Center Inc. CurrentSince Feb 9, 2018 Accepting new patients

Locations

452 Germantown Pike
Lafayette Hl, PA 19444
Phone (610) 828-4298

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1629393517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 RECTOR ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281733",
            "telephone_number": "215-360-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 GERMANTOWN PIKE",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441805",
            "telephone_number": "215-360-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPRESSI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette Hill, PA

Sources for this page

Verify at the official NPI Registry.