Individual provider Active NPI

Cheryl Borck-Hadley, MSW

  • Clinical Social Worker
  • Villanova, PA
National Provider Identifier
1972650182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW002548L Issued in PA
Practice address
517 N Spring Mill Rd
Villanova, PA 19085-1927
Phone
(610) 804-0886
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

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 CW002548L PA Primary

Addresses

Primary practice location

517 N Spring Mill Rd
Villanova, PA 19085-1927

Mailing address

517 N Spring Mill Rd
Villanova, PA 19085-1927
Phone (610) 804-0886

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
I20041104000797 PA Practitioner - Clinical Social Worker 8325001001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harmony Mental Health Services Inc.Group PAC ID 2668539925, 4 clinicians

Practice addresses (Care Compare)

2400 Chestnut St
Philadelphia, PA 19103-4316
Phone (215) 568-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972650182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N SPRING MILL RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851927",
            "telephone_number": "610-804-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N SPRING MILL RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851927",
            "telephone_number": "610-804-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCK-HADLEY",
        "first_name": "CHERYL",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW002548L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villanova, PA

Sources for this page

Verify at the official NPI Registry.