Individual provider Active NPI

Noa Joy Eagles, MSS, LCSW, CCTP

  • Clinical Social Worker
  • Bryn Mawr, PA
National Provider Identifier
1912533951
Registry record updated Mar 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020364 Issued in PA
Practice address
19 Elliott Ave
Bryn Mawr, PA 19010-3407
Phone
(610) 348-1521
NPI assigned
Mar 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2020

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 CW020364 PA Primary

Addresses

Primary practice location

19 Elliott Ave
Bryn Mawr, PA 19010-3407

Mailing address

1925 Lawrence Rd Apt 8F
Havertown, PA 19083-1759
Phone (610) 348-1521

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

State licenses

LicenseStateTypeSpecialty
CW020364PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584835200000",
    "number": "1912533951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 LAWRENCE RD APT 8F",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831759",
            "telephone_number": "610-348-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ELLIOTT AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103407",
            "telephone_number": "610-348-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLES",
        "first_name": "NOA",
        "middle_name": "JOY",
        "credential": "MSS, LCSW, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020364",
            "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 Mar 22, 2020; 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.