Douglas C Achtert, MSS, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017941 Issued in PA

Practice address

1055 E Baltimore Pike Ste 303
Media, PA 19063-5173

Phone

(610) 892-3800

NPI assigned

Jun 4, 2012

Sex

Male

Sole proprietor

No

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.

• Delaware County Professional Services, Inc

  • Psychiatry Physician
  • Media, PA
  • NPI 1952485864

  PA

  Medicare reassignment Care Compare group NPD
• Delaware County Professional Services

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1013384254

  Clinical

  NPD
• Men & Women for Human Excellence, Inc.

  • Public Health or Welfare Agency
  • Philadelphia, PA
  • NPI 1689700551
  NPD (past)
• Men & Women for Human Excellence, Inc.

  • Community/Behavioral Health Agency
  • Decatur, GA
  • NPI 1770930026
  NPD (past)

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Delaware County Professional Services, Inc 276 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dcp.douglasachtert@141748.advancedmd-direct.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2024.

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1710248091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 CECIL B MOORE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191212826",
            "telephone_number": "215-769-7045",
            "fax_number": "215-769-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E BALTIMORE PIKE STE 303",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635173",
            "telephone_number": "610-892-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2603 Cecil B Moore Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191212826",
            "country_code": "US",
            "telephone_number": "215-769-7045",
            "fax_number": "215-769-7046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHTERT",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MSS, LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128747",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW017941",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aba2Day Behavior Services
• Fatimo Abiola, RN
• Bethany Abrahams, PHARMD
• Acacia Acupuncture and Wellness Center LLC
• Accredited Environmental Technologies, Inc.
• Katie Achtert, CNM
• Anne S. Ackermann, M.S.
• Kathleen S Ackroyd, PT ATC
• Acme Markets Inc
• Acme Markets Inc

• All providers in Media, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.