Maryann Wall

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013986 Issued in PA

Practice address

7340 Jackson St
Philadelphia, PA 19136-4008

Phone

(215) 624-5691

Fax

(215) 624-5816

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mary Ann S Wall LCSW LLC

  • Clinical Social Worker
  • Newtown, PA
  • NPI 1619861242
  Medicare reassignment NPD Authorized official
• Catholic Clinical Consultants

  • Psychologist
  • Levittown, PA
  • NPI 1972832780
  NPD (past)
• Catholic Social Services

  • Case Management Agency
  • Levittown, PA
  • NPI 1659316461

  Clinical

  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1730115536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 NATHAN CT",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403430",
            "telephone_number": "215-624-5691",
            "fax_number": "215-624-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 JACKSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191364008",
            "telephone_number": "215-624-5691",
            "fax_number": "215-624-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "MARYANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7073245",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MHS",
            "identifier": "2139104000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virgil Walker, MA, LPC
• Elizabeth Lauren Wall, PA-C
• James Joseph Wall, MD
• Jessica Jeanne Wall, MD
• Joy Wall
• Matthew Lucas Wall
• Sara Elizabeth Wallace-Keeshen, FNP-BC
• Andre Lamar Wallace
• Arlene Denise Wallace, EDD
• Christopher Wallace, PT, DPT

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, 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 Feb 4, 2011; 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.