Individual provider Active NPI

Benjamin T Makem, MSW

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1740514363
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW124489 Issued in PA
Practice address
4627 Morris St
Philadelphia, PA 19144-4226
Phone
(215) 842-3105
NPI assigned
Sep 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW124489 PA Primary

Addresses

Primary practice location

4627 Morris St
Philadelphia, PA 19144-4226

Mailing address

4627 Morris St
Philadelphia, PA 19144-4226
Phone (215) 842-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW124489PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1740514363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 MORRIS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444226",
            "telephone_number": "215-842-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 MORRIS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444226",
            "telephone_number": "215-842-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKEM",
        "first_name": "BENJAMIN",
        "middle_name": "T",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW124489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.