NPIMap

Organization Active NPI

Delaware County Professional Services

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1013384254
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014023 Issued in PA
Legal business name
DELAWARE COUNTY PROFESSIONAL SERVICES
Practice address
3302 Tilden St
Philadelphia, PA 19129-1412
Phone
(215) 913-5350
NPI assigned
Aug 24, 2015
Last updated
Aug 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kyle Holsinger
Title
Clinical Director
Phone
(610) 892-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW014023 PA Primary

Addresses

Primary practice location

3302 Tilden St
Philadelphia, PA 19129-1412

Mailing address

3302 Tilden St
Philadelphia, PA 19129-1412
Phone (215) 913-5350

National Provider Directory

National Provider Directory
Tax ID family
Delaware County Professional Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1013384254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 TILDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291412",
            "telephone_number": "215-913-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 TILDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291412",
            "telephone_number": "215-913-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE COUNTY PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "HOLSINGER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "610-892-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014023",
            "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 Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.