Individual provider Active NPI

Michele Chubb, MSW

  • Clinical Social Worker
  • Willow Grove, PA
National Provider Identifier
1902919632
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013427 Issued in PA
Practice address
3941 Commerece Ave
Willowgrove, PA 19090
Phone
(215) 481-5450
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

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 CW013427 PA Primary

Addresses

Primary practice location

3941 Commerece Ave
Willowgrove, PA 19090

Mailing address

3941 Commerece Ave
Willowgrove, PA 19090
Phone (215) 481-5450

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
I20101004000370 PA Practitioner - Clinical Social Worker 4981896446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Row Psychiatric Services, LLCGroup PAC ID 4880029214, 8 clinicians

Practice addresses (Care Compare)

40 Lloyd Ave
Suite 206
Malvern, PA 19355-3091
Phone (610) 999-1908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Philadelphia Community MH Consortium Inc. CurrentSince May 28, 2018 Accepting new patients
West Phila Community Mental Health Consortium, Inc. Current Accepting new patients
Row Psychiatric Services, LLC CurrentSince Nov 15, 2022 Accepting new patients

Locations

40 Lloyd Ave
Ste 206
Malvern, PA 19355
Phone (610) 999-1908

451 S University Ave
Philadelphia, PA 19104
Phone (215) 596-8000

5501 Chestnut St
Philadelphia, PA 19139
Phone (215) 748-8400

3751 Island Ave
Ste 303
Philadelphia, PA 19153

Organizations & group practices 3

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902919632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 COMMERECE AVE",
            "city": "WILLOWGROVE",
            "state": "PA",
            "postal_code": "19090",
            "telephone_number": "215-481-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 COMMERECE AVE",
            "city": "WILLOWGROVE",
            "state": "PA",
            "postal_code": "19090",
            "telephone_number": "215-481-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUBB",
        "first_name": "MICHELE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.