Individual provider · Type 1 NPI

Lane Diflavis, LCSW

Clinical Social Worker · Philadelphia, PA

NPI number 1346612967 Active

Practice location

1207 Chestnut St, 3rd Floor
Philadelphia, PA 19107-4131

Call (215) 344-1155 Map

Fax (215) 732-1046

Mailing address

1233 Locust St Fl 3
Philadelphia, PA 19107-5400

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1346612967

Lane Diflavis, LCSW's National Provider Identifier is 1346612967, issued on Oct 22, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 14, 2018.