Active NPI
Wendy Landrian, LCSW
- Clinical Social Worker
- Springfield, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW021580
- Practice address
- 1489 Baltimore Pike Ste 250
Springfield, PA 19064-3974 - Phone
- (610) 544-2110
- Fax
- (610) 604-9510
- NPI assigned
- Sep 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW021580 | PA | Primary |
| Social Worker | 104100000X | SW125589 | PA |
Addresses
Primary practice location
1489 Baltimore Pike Ste 250
Springfield, PA 19064-3974
Mailing address
3819 Chestnut St
Garden Level
Philadelphia, PA 19104-3171
Phone (215) 387-3223
Other practice location 1
3819 Chestnut St
Garden Level
Philadelphia, PA 19104-3171
Phone (215) 387-3223 ext. 106
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW125589 | PA | MD | Social Worker |
| CW021580 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Springfield Psychological PC | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
491 Allendale Rd
Ste 322
Kng of Prussa, PA 19406
Phone (215) 805-4092
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144
560 Van Reed Rd
Ste 301
Wyomissing, PA 19610
Phone (610) 378-9601
Interoperability endpoints
- wendy.landrian.1@28623.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Springfield, PA
- NPI 1295705317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1891163192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3819 CHESTNUT ST",
"address_2": "GARDEN LEVEL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043171",
"telephone_number": "215-387-3223",
"fax_number": "215-387-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1489 BALTIMORE PIKE STE 250",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190643974",
"telephone_number": "610-544-2110",
"fax_number": "610-604-9510"
}
],
"practiceLocations": [
{
"address_1": "3819 Chestnut St",
"address_2": "Garden Level",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191043171",
"country_code": "US",
"telephone_number": "215-387-3223 x106",
"fax_number": "215-387-3203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDRIAN",
"first_name": "WENDY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-03",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW021580",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW125589",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.