Organization Active NPI

Iskra Therapy LLC

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1033945100
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ISKRA THERAPY LLC
Practice address
1518 Walnut St Ste 607
Philadelphia, PA 19102-3404
Phone
(215) 253-8361
NPI assigned
Sep 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Jack Harmelin, LCSWNPI 1659152627
Title
Member
Phone
(609) 289-0739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

1518 Walnut St Ste 607
Philadelphia, PA 19102-3404

Mailing address

925 Dickinson St Unit 18011
Philadelphia, PA 19147-6357
Phone (215) 233-8361

National Provider Directory

National Provider Directory

Locations

925 Dickinson St
Unit 18011
Philadelphia, PA 19147

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1033945100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 DICKINSON ST UNIT 18011",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191476357",
            "telephone_number": "215-233-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 607",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023404",
            "telephone_number": "215-253-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISKRA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "HARMELIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-289-0739",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "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 13, 2024; 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.