Individual provider Active NPI

Meaghan Fattizzi, LCSW

  • Clinical Social Worker
  • Hatboro, PA
National Provider Identifier
1639665714
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020241 Issued in PA
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

Updated by the provider on Dec 10, 2018

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 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 Former name

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
I20241017003531 PA Practitioner - Clinical Social Worker 0143752949 Reassigns benefits to 1 organization

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
Equilibria Mental Health ServicesGroup PAC ID 5698166783, 28 clinicians

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

LicenseStateTypeSpecialty
CW020241PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibria Psychological and Consultation Services, LLC CurrentSince Jul 30, 2011 Accepting new patients
Equilibria Mental Health Services CurrentSince Oct 1, 2024 Accepting new patients
Child and Family Focus Inc. Past Accepting new patients
Equilibria Mental Health of New Jersey LLC PastSince Mar 24, 2025 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.

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

Verify at the official NPI Registry.