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TANJA K GUSTAFSON LCSW
NPI 1700309283
Social Worker - Clinical in Pottstown, PA

Active since July 17, 2017PECOS Enrolled
94.34/100
CMS Quality Rating
11 ROBINSON ST, POTTSTOWN, PA 19464(484) 941-0500 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 5, 2024, Jul 21, 2022, Feb 20, 2019 and 1 more (4 updates tracked since 2017).

About Tanja K Gustafson Lcsw NPPES

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

TANJA K GUSTAFSON LCSW (NPI 1700309283) is an individual clinical provider in Pottstown, Pennsylvania, licensed in Pennsylvania (CW021235) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700309283
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTANJA K GUSTAFSONCredential: LCSW
Location Address11 ROBINSON STPottstown, PA 19464-6421
Mailing Address227 Dowlin Forge RdExton, PA 19341-1552 · (610) 909-1871
Phone(484) 941-0500
Sole ProprietorNo
Enumeration DateJuly 17, 2017
Last NPPES UpdateJune 5, 20244 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1700309283 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 · CW021235
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 ListedSocial WorkerTaxonomy 104100000X · License SW135393 (PA)
11 ROBINSON ST, Pottstown, PA 19464
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanja K Gustafson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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.

94.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.47
Promoting Interoperability100
Improvement Activities40
Cost100

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.

PRISCILLA BARNES-DAVIS
Counselor
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
ERIN TYNDALL
Counselor
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
ROSANNE R SMITH
Counselor
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
JOANNE BEAUREGARD
Counselor
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
AUTUMN HARRIS
Counselor
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
OLIVIA TOMKO
Counselor (Mental Health)
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
TONIA ANN GREEN
Counselor (Mental Health)
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
JAMES LOGAN POTTS
Counselor (Addiction (Substance Use Disorder))
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500

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 Tanja Gustafson's NPI number?

The NPI number for Tanja Gustafson is 1700309283. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Tanja Gustafson located?

Tanja Gustafson practices at 11 Robinson St, Pottstown, PA 19464. The listed phone number is (484) 941-0500.

What is Tanja Gustafson's specialty?

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

Is Tanja Gustafson enrolled in Medicare?

Yes. Tanja Gustafson is registered in the Medicare PECOS enrollment system.

What insurance does Tanja Gustafson accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Tanja Gustafson 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 Tanja Gustafson was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.