Individual provider Active NPI

Ann Beaupain Maebius, MSW LCSW

  • Clinical Social Worker
  • Jenkintown, PA
National Provider Identifier
1750435160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013036 Issued in PA
Practice address
93 York Rd Ste 203
Jenkintown, PA 19046-3925
Phone
(215) 885-3337
Fax
(215) 885-3090
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW013036 PA Primary

Addresses

Primary practice location

93 York Rd Ste 203
Jenkintown, PA 19046-3925

Mailing address

7612 Mountain Ave
Elkins Park, PA 19027-2605
Phone (215) 782-8626

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750435160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 MOUNTAIN AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272605",
            "telephone_number": "215-782-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 YORK RD STE 203",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463925",
            "telephone_number": "215-885-3337",
            "fax_number": "215-885-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEBIUS",
        "first_name": "ANN",
        "middle_name": "BEAUPAIN",
        "name_prefix": "Ms.",
        "credential": "MSW   LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.