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SUSAN M. MCILVAIN MSW, LISW-S
NPI 1427209212
Social Worker - Clinical in Philadelphia, PA

Active since October 10, 2008PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3535 MARKET ST FL 2, PHILADELPHIA, PA 19104(215) 746-6701(215) 756-7350 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan M. Mcilvain Msw, Lisw-s NPPES

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

SUSAN M. MCILVAIN MSW, LISW-S (NPI 1427209212) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW022054) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1427209212
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN M. MCILVAINCredential: MSW, LISW-S
Location Address3535 MARKET ST FL 2Philadelphia, PA 19104-3317
Mailing Address3535 Market St Fl 2Philadelphia, PA 19104-3317 · (215) 746-6701 · Fax (215) 756-7350
Phone(215) 746-6701
Fax(215) 756-7350
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 10, 2008
Last NPPES UpdateJuly 8, 2022
NPPES CertifiedJuly 27, 2020
✔ NPI 1427209212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW022054
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.
3535 MARKET ST FL 2, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan M. Mcilvain Msw, Lisw-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911145842
PECOS Enrollment IDI20211108000963
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
86 services12 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY SAW M.D.
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2, SECOND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222
LINDSEY BRIER MD, PHD
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222
KATHRYN SOUDER LCSW
Social Worker (Clinical)
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6701
ELIZABETH DUTHINH MD
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222
ZOE BUCKWALTER
Social Worker (Clinical)
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6701
DR. ERIKA FIELDMAN SIMS M.D.
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (248) 227-6682
ELIZABETH ANN FLOOK MD PHD
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222
LARA MARIE BOYLE MD, PHD
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222

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 Susan Mcilvain's NPI number?

The NPI number for Susan Mcilvain is 1427209212. It was assigned to this individual provider in the NPPES registry on October 10, 2008.

Where is Susan Mcilvain located?

Susan Mcilvain practices at 3535 Market St Fl 2, Philadelphia, PA 19104. The listed phone number is (215) 746-6701.

What is Susan Mcilvain's specialty?

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

Is Susan Mcilvain enrolled in Medicare?

Yes. Susan Mcilvain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Mcilvain accept?

Health plans from MedMutual list Susan Mcilvain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Mcilvain was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.