Active NPI
Mara Anemone Schlotterbeck, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1962921601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW022974
- Practice address
- PO Box 31906
Philadelphia, PA 19104-0606 - Phone
- (267) 494-9267
- NPI assigned
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | LC23247 | ME | |
| Clinical Social Worker | 1041C0700X | CW022974 | PA | Primary |
Addresses
Primary practice location
PO Box 31906
Philadelphia, PA 19104-0606
Mailing address
PO Box 31906
Philadelphia, PA 19104-0606
Phone (267) 494-9267
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC23247 | ME | MD | Clinical Social Worker |
| CW022974 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1962921601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31906",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191040606",
"telephone_number": "267-494-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 31906",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191040606",
"telephone_number": "267-494-9267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLOTTERBECK",
"first_name": "MARA",
"middle_name": "ANEMONE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC23247",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW022974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.