Individual provider Active NPI

Wendy D. Rasnick, LCSW

  • Clinical Social Worker
  • Havertown, PA
National Provider Identifier
1730576802
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018528 Issued in PA
Practice address
1120 W Township Line Rd
Havertown, PA 19083-4930
Phone
(484) 640-5552
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW018528 PA Primary

Addresses

Primary practice location

1120 W Township Line Rd
Havertown, PA 19083-4930

Mailing address

536 Hoffman Dr
Bryn Mawr, PA 19010-1745
Phone (484) 476-7510

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150514001782 PA Practitioner - Clinical Social Worker 3971823980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Treatment Network LLCGroup PAC ID 8820402993, 11 clinicians

Practice addresses (Care Compare)

1120 W Township Line Rd
Suite 200
Havertown, PA 19083-4930
Phone 8772865115101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Treatment Network LLC CurrentSince Nov 9, 2021 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Sep 6, 2017 Accepting new patients
Resources for Human Development, Inc. CurrentSince Sep 6, 2017 Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients
Main Line Hospitals, Inc. Past Accepting new patients

Locations

850 W Lancaster Ave
Ste 2
Bryn Mawr, PA 19010
Phone (484) 383-0038

1120 W Township Line Rd
Fl 2
Havertown, PA 19083
Phone (484) 535-1231

1120 W Township Line Rd
Havertown, PA 19083
Phone (484) 838-6565

1120 W Township Line Rd
Ste 200
Havertown, PA 19083
Phone (484) 451-8313

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1730576802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 HOFFMAN DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101745",
            "telephone_number": "484-476-7510",
            "fax_number": "484-450-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W TOWNSHIP LINE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834930",
            "telephone_number": "484-640-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASNICK",
        "first_name": "WENDY",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.