Individual provider · Type 1 NPI

Jessica Revell, LCSW

Clinical Social Worker · Philadelphia, PA

NPI number 1093328965 Active

Practice location

1401 S 31st St Fl 2
Philadelphia, PA 19146-3506

Call (215) 925-2400 Map

Mailing address

12100 Skyview Dr
Edinboro, PA 16412-1327

Other practice locations

  • 1330 W 26th St, Erie, PA 16508-1402 · (814) 459-9300

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XSW137073 (PA)
Clinical Social Worker Primary 1041C0700XCW023411 (PA)

Clinical Social Worker: 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 interpers…

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About NPI 1093328965

Jessica Revell, LCSW's National Provider Identifier is 1093328965, issued on Aug 28, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 17, 2025.