Individual provider Active NPI

Robin Ackerman, LCSW

  • Clinical Social Worker
  • Doylestown, PA
National Provider Identifier
1699363440
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013861 Issued in PA
Practice address
833 E Butler Ave
Doylestown, PA 18901-2280
Phone
(215) 345-0444
NPI assigned
Jan 7, 2021
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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 CW013861 PA Primary

Addresses

Primary practice location

833 E Butler Ave
Doylestown, PA 18901-2280

Mailing address

1015 Whitehall Dr
Doylestown, PA 18901-5821
Phone (215) 962-5474

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
I20221123002843 PA Practitioner - Clinical Social Worker 1850769795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

4259 W Swamp Rd
Suite 404
Doylestown, PA 18902-1033
Phone (610) 892-3800

780 E Market St
West Chester, PA 19382-4882
Phone (610) 892-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013861PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc Single Specialty CurrentSince Nov 1, 2022 Accepting new patients

Locations

4259 W Swamp Rd
Ste 404
Doylestown, PA 18902
Phone (267) 303-7409

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1699363440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 WHITEHALL DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189015821",
            "telephone_number": "215-962-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 E BUTLER AVE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012280",
            "telephone_number": "215-345-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "ROBIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2022-07-06",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.