Active NPI
Oswald Smalls, LSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1700936861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW006774L
- Practice address
- 7600 Stenton Ave
Suite 1F
Philadelphia, PA 19118-3231 - Phone
- (215) 247-5400
- Fax
- (215) 247-5175
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
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 | SW006774L | PA | Primary |
Addresses
Primary practice location
7600 Stenton Ave
Suite 1F
Philadelphia, PA 19118-3231
Mailing address
7600 Stenton Ave
Suite 1F
Philadelphia, PA 19118-3231
Phone (215) 247-5400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1646889000 | Other | PA | MAGELLAN |
| 7849271 | Other | PA | AETNA |
| 2320935000 | Other | PA | PERSONAL CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW006774L | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Counseling and Psychological Associates LLC | Clinical | Past | Accepting new patients |
| Evergreen Counseling Associates | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Philadelphia, PA
- NPI 1053748939
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700936861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 STENTON AVE",
"address_2": "SUITE 1F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191183231",
"telephone_number": "215-247-5400",
"fax_number": "215-247-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 STENTON AVE",
"address_2": "SUITE 1F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191183231",
"telephone_number": "215-247-5400",
"fax_number": "215-247-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLS",
"first_name": "OSWALD",
"name_prefix": "Mr.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW006774L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "1646889000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7849271",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "2320935000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.