Active NPI
C&D Senior Innovations LLC
- Clinical Social Worker
- Quakertown, PA
National Provider Identifier
1629519087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW017317
- Legal business name
- C&D SENIOR INNOVATIONS LLC
- Practice address
- 165 California Rd
#11
Quakertown, PA 18951-6559 - Phone
- (336) 575-0410
- NPI assigned
- Mar 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cathryn C Stettler, LCSW
- Title
- Chief Executive Officer
- Phone
- (336) 575-0410
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| Clinical Social Worker | 1041C0700X | CW017317 | PA | Primary |
Addresses
Primary practice location
165 California Rd
#11
Quakertown, PA 18951-6559
Mailing address
165 California Rd
#11
Quakertown, PA 18951-6559
Phone (336) 575-0410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
502 W 7th St
Erie, PA 16502
Phone (336) 575-0410
165 California Rd
Unit 11
Quakertown, PA 18951
Phone (336) 575-0410
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489708800000",
"number": "1629519087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 CALIFORNIA RD",
"address_2": "#11",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189516559",
"telephone_number": "336-575-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 CALIFORNIA RD",
"address_2": "#11",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189516559",
"telephone_number": "336-575-0410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C&D SENIOR INNOVATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-17",
"last_updated": "2017-03-17",
"status": "A",
"authorized_official_last_name": "STETTLER",
"authorized_official_first_name": "CATHRYN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "336-575-0410",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW017317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quakertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.