Active NPI
Meaghan Fattizzi, LCSW
- Clinical Social Worker
- Hatboro, PA
National Provider Identifier
1639665714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW020241
- Practice address
- 2935 Byberry Rd Ste 108
Hatboro, PA 19040-2831 - Phone
- (215) 957-9771
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- No
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 | CW020241 | PA | Primary |
Addresses
Primary practice location
2935 Byberry Rd Ste 108
Hatboro, PA 19040-2831
Mailing address
8200 Henry Ave Apt G15
Philadelphia, PA 19128-2960
Phone (732) 597-3433
Other names 1
- Ms. Meaghan Stacy
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 Fitzwatertown Rd
Suite A1
Willow Grove, PA 19090-1928
Phone (267) 861-3685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW020241 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equilibria Psychological and Consultation Services, LLC | Current | Accepting new patients | |
| Equilibria Mental Health Services | Current | Accepting new patients | |
| Child and Family Focus Inc. | Past | Accepting new patients | |
| Equilibria Mental Health of New Jersey LLC | Past | Accepting new patients |
Locations
525 S 4th St
Ste 471
Philadelphia, PA 19147
Phone (215) 861-3685
630 Fitzwatertown Rd
Ste A1
Willow Grove, PA 19090
Phone (215) 658-4553
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1225792872
-
- Clinical Psychologist
- Philadelphia, PA
- NPI 1356454045
-
- Public Health or Welfare Agency
- Audubon, PA
- NPI 1912172453
-
- Clinical Psychologist
- Maple Shade, NJ
- NPI 1841090032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1639665714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 HENRY AVE APT G15",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282960",
"telephone_number": "732-597-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 BYBERRY RD STE 108",
"city": "HATBORO",
"state": "PA",
"postal_code": "190402831",
"telephone_number": "215-957-9771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATTIZZI",
"first_name": "MEAGHAN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-02",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW020241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEAGHAN",
"last_name": "STACY",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hatboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.