Individual provider Active NPI

Danielle Annetta Gordon

  • Clinical Social Worker
  • Sellersville, PA
National Provider Identifier
1982189130
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019899 Issued in PA
Practice address
807 Lawn Ave
Sellersville, PA 18960-1549
Phone
(215) 257-6551
Fax
(215) 257-9347
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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 CW019899 PA Primary

Addresses

Primary practice location

807 Lawn Ave
Sellersville, PA 18960-1549

Mailing address

807 Lawn Ave
Sellersville, PA 18960-1549
Phone (215) 257-6551

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
I20181126002004 PA Practitioner - Clinical Social Worker 7618221953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group Inc 2,161 clinicians

Practice addresses (Care Compare)

1107 Eaton Ave
St Lukes Psych Assoc
Bethlehem, PA 18018-1862
Phone (610) 954-3012

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019899PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Foundation Inc CurrentSince Oct 30, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Feb 11, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Feb 11, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients

Locations

1107 Eaton Ave
Bethlehem, PA 18018
Phone (610) 954-3012

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

8330 Easton Rd
Ste C
Ottsville, PA 18942
Phone (267) 424-8020

807 Lawn Ave
Sellersville, PA 18960

Organizations & group practices 4

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1982189130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601549",
            "telephone_number": "215-257-6551",
            "fax_number": "215-257-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601549",
            "telephone_number": "215-257-6551",
            "fax_number": "215-257-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DANIELLE",
        "middle_name": "ANNETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.