Organization Active NPI

Ladipo Group Psychotherapy for Our Community LLC

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1063829232
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015409 Issued in PA
Legal business name
LADIPO GROUP PSYCHOTHERAPY FOR OUR COMMUNITY LLC
Practice address
255 S 17TH St Ste 2704
Philadelphia, PA 19103-6228
Phone
(267) 908-6363
NPI assigned
Jul 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Tonya Ladipo
Title
Owner & Director
Phone
(267) 908-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW015409 PA Primary

Addresses

Primary practice location

255 S 17TH St Ste 2704
Philadelphia, PA 19103-6228

Mailing address

255 S 17TH St Ste 2704
Philadelphia, PA 19103-6228
Phone (267) 908-6363

Other practice location 1

4100 Main St Ste 301
Philadelphia, PA 19127-1623
Phone (267) 908-6363

National Provider Directory

National Provider Directory

Locations

4100 Main St
Ste 301
Philadelphia, PA 19127
Phone 2156457117 ext. 715

255 S 17th St
Ste 2704
Philadelphia, PA 19103
Phone (215) 432-8040

Practitioners & affiliated clinicians

Practitioners 3

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": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1063829232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 2704",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036228",
            "telephone_number": "267-908-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 2704",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036228",
            "telephone_number": "267-908-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Main St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191271623",
            "country_code": "US",
            "telephone_number": "267-908-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LADIPO GROUP PSYCHOTHERAPY FOR OUR COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "LADIPO",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER & DIRECTOR",
        "authorized_official_telephone_number": "267-908-6363"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015409",
            "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 Mar 29, 2021; 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.