Individual provider Active NPI

Michael Peter Pappano, MSW, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1649738956
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017117 Issued in PA
Practice address
1315 Walnut St Ste 1700
Philadelphia, PA 19107-4717
Phone
(267) 428-1456
NPI assigned
Mar 5, 2019
Last updated
May 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CW017117 PA
Clinical Social Worker 1041C0700X CW017117 PA Primary

Addresses

Primary practice location

1315 Walnut St Ste 1700
Philadelphia, PA 19107-4717

Mailing address

31 S 51St St
Philadelphia, PA 19139-3527
Phone (267) 428-1456

Other practice location 1

5011 Sansom St Unit 9448
Philadelphia, PA 19139-3582
Phone (267) 428-1456

Other practice location 2

31 S 51st St
Philadelphia, PA 19139-3527
Phone (267) 428-1456

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
I20200720002261 PA Practitioner - Clinical Social Worker 1951725241 Reassigns benefits to 1 organization
Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Perelman School of Med at the University of Pennsylvania, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31 S 51St St
Philadelphia, PA 19139-3527
Phone (267) 428-1456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017117PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Pappano LLC Clinical CurrentSince Apr 25, 2020 Accepting new patients

Locations

1315 Walnut St
Ste 1700
Philadelphia, PA 19107
Phone (215) 717-2716

5011 Sansom St
Unit 9448
Philadelphia, PA 19139
Phone (267) 428-1456

Organizations & group practices 1

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1649738956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S 51ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393527",
            "telephone_number": "267-428-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST STE 1700",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074717",
            "telephone_number": "267-428-1456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5011 Sansom St Unit 9448",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191393582",
            "country_code": "US",
            "telephone_number": "267-428-1456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 S 51st St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191393527",
            "country_code": "US",
            "telephone_number": "267-428-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPANO",
        "first_name": "MICHAEL",
        "middle_name": "PETER",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW017117",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.