Individual provider Active NPI

Jonathan D Eicher, LMSW, MBA

  • Social Worker
  • Bryn Mawr, PA
National Provider Identifier
1902249931
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW129121 Issued in PA
Practice address
274 S Bryn Mawr Ave
Federation Hall BLDG, Jchai
Bryn Mawr, PA 19010-2105
Phone
(610) 922-2480
Fax
(610) 520-4705
NPI assigned
Apr 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Social Worker 104100000X SW129121 PA Primary

Addresses

Primary practice location

274 S Bryn Mawr Ave
Federation Hall BLDG, Jchai
Bryn Mawr, PA 19010-2105

Mailing address

274 S Bryn Mawr Ave
Federation Hall BLDG, Jchai
Bryn Mawr, PA 19010-2105
Phone (610) 922-2480

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
SW129121PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1902249931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 S BRYN MAWR AVE",
            "address_2": "FEDERATION HALL BLDG, JCHAI",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102105",
            "telephone_number": "610-922-2480",
            "fax_number": "610-520-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 S BRYN MAWR AVE",
            "address_2": "FEDERATION HALL BLDG, JCHAI",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102105",
            "telephone_number": "610-922-2480",
            "fax_number": "610-520-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHER",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "LMSW, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.