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DANA BALTUS LCSW
NPI 1235872300
Social Worker - Clinical in Doylestown, PA

Active since April 18, 2022PECOS Enrolled
196 W ASHLAND ST # 595, DOYLESTOWN, PA 18901(215) 690-1265(215) 933-1477 Get Directions Write a Review

NPPES record last updated: August 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2023, Apr 18, 2022 (2 updates tracked since 2022).

About Dana Baltus Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANA BALTUS LCSW (NPI 1235872300) is an individual clinical provider in Doylestown, Pennsylvania, licensed in Pennsylvania (CW023263) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235872300
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDANA BALTUSCredential: LCSW
Location Address196 W ASHLAND ST # 595Doylestown, PA 18901-4040
Mailing Address196 W Ashland St # 595Doylestown, PA 18901-4040 · (215) 690-1265 · Fax (215) 933-1477
Phone(215) 690-1265
Fax(215) 933-1477
Sole ProprietorYes
Enumeration DateApril 18, 2022
Last NPPES UpdateAugust 27, 20232 updates tracked since enumeration
NPPES CertifiedAugust 27, 2023
✔ NPI 1235872300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW023263
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
196 W ASHLAND ST # 595, Doylestown, PA 18901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Baltus Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dana Baltus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,043 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 833 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dana Baltus's NPI number?

The NPI number for Dana Baltus is 1235872300. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Dana Baltus located?

Dana Baltus practices at 196 W Ashland St # 595, Doylestown, PA 18901. The listed phone number is (215) 690-1265.

What is Dana Baltus's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Dana Baltus enrolled in Medicare?

Yes. Dana Baltus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dana Baltus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Baltus reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dana Baltus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dana Baltus was last updated on August 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.