Active NPI
Deirdre H Shaffer, M.S.W.
- Clinical Social Worker
- Doylestown, PA
National Provider Identifier
1649313552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW012549L
- Practice address
- 115 N Broad St
Suite 202
Doylestown, PA 18901-3748 - Phone
- (215) 348-9250
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SW012549L | PA | Primary |
Addresses
Primary practice location
115 N Broad St
Suite 202
Doylestown, PA 18901-3748
Mailing address
115 N Broad St
Suite 202
Doylestown, PA 18901-3748
Phone (215) 348-9250
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150409001039 | PA | Practitioner - Clinical Social Worker | 1759609480 | Practice locations: Doylestown, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
62 N Church St
Doylestown, PA 18901-4333
Phone (215) 348-9250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW012549L | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1649313552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N BROAD ST",
"address_2": "SUITE 202",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189013748",
"telephone_number": "215-348-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N BROAD ST",
"address_2": "SUITE 202",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189013748",
"telephone_number": "215-348-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "DEIRDRE",
"middle_name": "H",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW012549L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.