Mary Beth Boulden, LCSW, LPC is a
Social Worker based in Philadelphia, Pennsylvania. Mary Beth Boulden is licensed to practice in Pennsylvania (license number SW124663) and her current practice location is
5501 Old York Rd, Moss 1, Office 139, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 456-9884.
NPI number for Mary Beth Boulden is 1588627038 and her current mailing address is 3015 Darby Rd, Ardmore, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588627038.
Healthcare Provider's Profile
Full Name | Mary Beth Boulden |
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Gender | Female |
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Speciality | Social Worker |
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Location | 5501 Old York Rd, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588627038
- Provider Enumeration Date: 04/07/2006
- Last Update Date: 10/03/2007
Medical Identifiers
Medical identifiers for Mary Beth Boulden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588627038 | NPI | - | NPPES |
CW015559 | Other | PA | LCSW |
PC000160 | Other | PA | PROFESSIONAL COUNSELOR |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | PC000160 (Pennsylvania) | Secondary |
104100000X | Social Worker | SW124663 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Beth Boulden is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Beth Boulden, LCSW, LPC 3015 Darby Rd, Ardmore, PA 19003-1623 Ph: (610) 449-1969 | Mary Beth Boulden, LCSW, LPC 5501 Old York Rd, Moss 1, Office 139, Philadelphia, PA 19141-3018 Ph: (215) 456-9884 |
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