Individual provider · Type 1 NPI

Jodi L. Ippolito, L.C.S.W.

Clinical Social Worker · Philadelphia, PA

NPI number 1205990231 Active

Practice location

313 S 16th St
Philadelphia, PA 19102-4908

Mailing address

305 E Upsal St
Philadelphia, PA 19119-2348

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW015185 (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 1205990231

Jodi L. Ippolito, L.C.S.W.'s National Provider Identifier is 1205990231, issued on Dec 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.