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

Last updated

Nov 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

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, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

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

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.

• Delaware County Professional Services, Inc

  dba LifeStance

  • Psychiatry Physician
  • Media, PA
  • NPI 1952485864
  Medicare reassignment Care Compare group NPD
• Delaware County Professional Services

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1013384254
  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)

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

{
    "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 (Sav-on Pharmacy #2876)
• Acme Markets Inc (Acme Pharmacy #0809)

• Clinical Social Worker in Media, PA
• Providers in Media, PA by specialty
• 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.