Kelly Marie Schiavone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016081 Issued in PA

Practice address

602 S Bethlehem Pike Ste B
Ambler, PA 19002-5809

Phone

(215) 279-0983

NPI assigned

Aug 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellness 51

  • Clinical Social Worker
  • Swedesboro, NJ
  • NPI 1932066297
  Medicare reassignment NPD Authorized official
• Southern Gastro Associates of New Jersey LLC

  • Gastroenterology Physician
  • Swedesboro, NJ
  • NPI 1811977705
  NPD (past)

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578787200000",
    "number": "1770715732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 COTTONWOOD RD",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080853183",
            "telephone_number": "215-279-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S BETHLEHEM PIKE STE B",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025809",
            "telephone_number": "215-279-0983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Ft Washington",
            "state": "PA",
            "postal_code": "190342913",
            "country_code": "US",
            "telephone_number": "215-279-0983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13 Cottonwood Rd",
            "address_purpose": "LOCATION",
            "city": "Swedesboro",
            "state": "NJ",
            "postal_code": "080853183",
            "country_code": "US",
            "telephone_number": "215-279-0983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHIAVONE",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05845300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Marie Sassaman, PHARM.D.
• Kristina Anne Satterfield, AGPCNP-BC
• Daniel A Schaeffer
• Rachel Anne Schaeffer, PT, DPT
• Lauren Schaff
• Nicole Helene Schillinger, RD, LDN
• Peter Michael Schlesinger, PH.D.
• James Mathew Schlussel, PT DPT
• Jo Schmuckler, PT
• Samantha Schreiber

• Clinical Social Worker in Ambler, PA
• Providers in Ambler, 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 Jan 12, 2020; 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.