NPIMap

Organization Active NPI

Main Line Counseling & Wellness Center, Inc

  • Clinical Social Worker
  • Narberth, PA
National Provider Identifier
1629404728
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017311 Issued in PA
Legal business name
MAIN LINE COUNSELING & WELLNESS CENTER, INC
Practice address
104 1/2 Forrest Ave
Suite 27
Narberth, PA 19072-2220
Phone
(610) 664-2524
NPI assigned
Sep 20, 2013
Last updated
Sep 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
Rachel Chandler, LCSWNPI 1063705283
Title
Licensed Clinical Social Worker
Phone
(610) 664-2524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC006228 PA
Clinical Social Worker 1041C0700X CW017261 PA
Clinical Social Worker 1041C0700X CW017311 PA Primary

Addresses

Primary practice location

104 1/2 Forrest Ave
Suite 27
Narberth, PA 19072-2220

Mailing address

104 1/2 Forrest Ave
Suite 27
Narberth, PA 19072-2220
Phone (610) 664-2524

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1629404728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 1/2 FORREST AVE",
            "address_2": "SUITE 27",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722220",
            "telephone_number": "610-664-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 1/2 FORREST AVE",
            "address_2": "SUITE 27",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722220",
            "telephone_number": "610-664-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE COUNSELING & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "610-664-2524",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006228",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017261",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.