Active NPI
Khary Musadeen Atif, MSS MLSP LCSW ACSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1013225937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016673
- Practice address
- 313 S 16TH St
Philadelphia, PA 19102-4908 - Phone
- (215) 732-8244
- Fax
- (215) 732-8454
- NPI assigned
- Sep 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW016673 | PA | Primary |
Addresses
Primary practice location
313 S 16TH St
Philadelphia, PA 19102-4908
Mailing address
313 S 16TH St
Philadelphia, PA 19102-4908
Phone (215) 732-8244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW016673 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philadelphia School of Psychoanalysis | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
- NPI 1922162130
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1013225937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 S 16TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024908",
"telephone_number": "215-732-8244",
"fax_number": "215-732-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 S 16TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024908",
"telephone_number": "215-732-8244",
"fax_number": "215-732-8454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATIF",
"first_name": "KHARY",
"middle_name": "MUSADEEN",
"name_prefix": "Mr.",
"credential": "MSS MLSP LCSW ACSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW016673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.