Individual provider Active NPI

Mary Beth Hadley

  • Clinical Social Worker
  • Elkins Park, PA
National Provider Identifier
1841629607
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017260 Issued in PA
Practice address
7827 Old York Rd
Elkins Park, PA 19027-2508
Phone
(215) 376-6140
Fax
(215) 376-6191
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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 CW017260 PA Primary

Addresses

Primary practice location

7827 Old York Rd
Elkins Park, PA 19027-2508

Mailing address

7827 Old York Rd
Elkins Park, PA 19027-2508
Phone (215) 376-6140

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
I20220106000720 PA Practitioner - Clinical Social Worker 7012308729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2209 Quarry Dr
Suite A10
Reading, PA 19609-1153
Phone (844) 696-4631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017260PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Matters Coaching, Counseling, & Psychological Associates LLC Clinical CurrentSince Dec 1, 2021 Accepting new patients
Bethany Christian Services Past Accepting new patients

Locations

2209 Quarry Dr
Ste A10
Reading, PA 19609
Phone (610) 563-2052

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383350400000",
    "number": "1841629607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7827 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272508",
            "telephone_number": "215-376-6140",
            "fax_number": "215-376-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7827 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272508",
            "telephone_number": "215-376-6140",
            "fax_number": "215-376-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "MARY BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.