Individual provider · Type 1 NPI

Eileen B. Addis, LCSW

Clinical Social Worker · Philadelphia, PA

NPI number 1336657709 Active · reactivated Jul 5, 2024

Practice location

4100 Main St Ste 403
Philadelphia, PA 19127-1623

Mailing address

670 Mallard Rd
Wayne, PA 19087-2344

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW018387 (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 1336657709

Eileen B. Addis, LCSW's National Provider Identifier is 1336657709, issued on Jan 18, 2018. 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 5, 2024.