Active NPI
Jeanine Cassar O'Rourke, LCSW
- Clinical Social Worker
- Wyndmoor, PA
National Provider Identifier
1649441478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW014467
- Practice address
- 716 E Willow Grove Ave
Wyndmoor, PA 19038-7906 - Phone
- (215) 206-2931
- NPI assigned
- Mar 19, 2008
- 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 | CW014467 | PA | Primary |
Addresses
Primary practice location
716 E Willow Grove Ave
Wyndmoor, PA 19038-7906
Mailing address
716 E Willow Grove Ave
Wyndmoor, PA 19038-7906
Phone (215) 206-2931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 16, 2023 through Jun 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW014467 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1649441478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 E WILLOW GROVE AVE",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "190387906",
"telephone_number": "215-206-2931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 E WILLOW GROVE AVE",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "190387906",
"telephone_number": "215-206-2931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'ROURKE",
"first_name": "JEANINE",
"middle_name": "CASSAR",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyndmoor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.