Dale P Myrtetus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012317 Issued in PA

Practice address

1045 Kasmir Ave
Suite 101
Bensalem, PA 19020-4520

Phone

(215) 244-2624

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730252529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 KASMIR AVE",
            "address_2": "SUITE 101",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204520",
            "telephone_number": "215-244-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 KASMIR AVE",
            "address_2": "SUITE 101",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204520",
            "telephone_number": "215-244-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRTETUS",
        "first_name": "DALE",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11529542",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENCE BLUE CROSS",
            "identifier": "2124455000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "438269",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS MIS#",
            "identifier": "464611",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Mullen
• Gina Ruggierio Murray, MD
• Joseph B Murray, PT, DPT
• My Doctors Choice, LLC
• Sherri Myers, O.D.
• Peter Joseph Narkiewicz, PHD
• National Vision, Inc.
• Neeru Nayak, M.D.
• Arbina Nayeem
• Michael T Neary, DPM

• Clinical Social Worker in Bensalem, PA
• Providers in Bensalem, 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 Jul 8, 2007; 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.