Individual provider Active NPI

Deborah Woolf

  • Mental Health Counselor
  • Phila, PA
National Provider Identifier
1649608118
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
112 N Broad St
Phila, PA 19102-1512
Phone
(215) 568-0860
NPI assigned
Oct 21, 2013
Last updated
Oct 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

112 N Broad St
Phila, PA 19102-1512

Mailing address

112 N Broad St
Phila, PA 19102-1512
Phone (215) 568-0860

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
I20161020000054 PA Practitioner - Clinical Social Worker 3971891268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
GKSW Crystal Group AssociatesGroup PAC ID 7810898152, 14 clinicians

Practice addresses (Care Compare)

8200 Flourtown Ave
Wyndmoor, PA 19038-7969
Phone (215) 233-3994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Belmont Behavioral Hospital, LLC CurrentSince Jul 25, 2016 Accepting new patients
GKSW Crystal Group Associates CurrentSince Aug 1, 2023 Accepting new patients
Belmont Behavioral Hospital, LLC Current Accepting new patients

Locations

4200 Monument Rd
Philadelphia, PA 19131
Phone (215) 456-6611

8200 Flourtown Ave
Ste 8
Wyndmoor, PA 19038
Phone (215) 233-3994

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1649608118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N BROAD ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191021512",
            "telephone_number": "215-568-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N BROAD ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191021512",
            "telephone_number": "215-568-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLF",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.