MRS. ENID PEURA (LCSW) – Clinical Social Worker, NPI 1902958853

MRS. ENID PEURA (LCSW) is a healthcare provider. based in Media, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CW014365 (PA). The NPI Number for MRS. ENID PEURA (LCSW) is 1902958853

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ENID PEURA (LCSW)
NPI
1902958853
Phone
(610) 892-3800
Address
1055 E BALTIMORE PIKE STE 300
Enumeration Date
18 January 2007
Last Update Date
8 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6108923800
Graduation Year
1992 (34 years ago)
PAC ID
9133114630
Group Practice PAC ID
2668436692
Professional Enrollment ID
I20040415000420
Address ID
PA190635173ME1055XPIKE400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,473 CLINICAL SOCIAL WORKER in PA

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Provider Addresses for MRS. ENID PEURA (LCSW)

  • 1055 E BALTIMORE PIKE STE 300

    MEDIA, PA 190635173

    Phone: (610) 892-3800

    Type: Mailing

  • 600, North Olive Street, Media, Delaware County, Pennsylvania, 19063, United States

    MEDIA, PA 19063

    Phone: (610) 566-7540

    Fax: (610) 566-7677

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-15

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040415000420IClinical Social WorkerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour19112$0
View full utilization report →

Insurance plans in this area (ZIP 19063)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668436692View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerWV
Nurse PractitionerPA
-PA
Mental Health CounselorPA
Mental Health CounselorPA
-PA
-PA
Clinical Social WorkerPA
Mental Health CounselorPA

Reviews

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Frequently asked questions

How is MRS. ENID PEURA (LCSW) identified in CMS data?
CMS-hosted NPPES data lists MRS. ENID PEURA (LCSW) with NPI 1902958853.
Is MRS. ENID PEURA (LCSW) listed as active for patients and plans?
The listing shows MRS. ENID PEURA (LCSW) as active in the NPI system.
What is MRS. ENID PEURA (LCSW) best known for clinically?
Directory data describes MRS. ENID PEURA (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. ENID PEURA (LCSW)?
MRS. ENID PEURA (LCSW)'s geographic hint is Media, Pennsylvania in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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