Organization Active NPI

Tulip Tree Wellness LLC

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1124596804
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TULIP TREE WELLNESS LLC
Practice address
1315 Walnut St Ste 1700
Philadelphia, PA 19107-4717
Phone
(267) 362-9313
NPI assigned
Nov 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Marwin Margolies, LCSWNPI 1033624291
Title
Sole Member
Phone
(267) 362-9313

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1315 Walnut St Ste 1700
Philadelphia, PA 19107-4717

Mailing address

1315 Walnut St Ste 1700
Philadelphia, PA 19107-4717
Phone (267) 362-9313

Other practice location 1

1315 Spruce St # 301B
Philadelphia, PA 19107-5601
Phone (267) 362-9313

Other identifiers 1

IdentifierTypeStateIssuer
CW021163OtherPASTATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL C

National Provider Directory

National Provider Directory

Locations

1315 Spruce St
#301B
Philadelphia, PA 19107
Phone (267) 362-9313

1315 Spruce St
Ste 301B
Philadelphia, PA 19107

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": "1541894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1124596804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST STE 1700",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074717",
            "telephone_number": "267-362-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST STE 1700",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074717",
            "telephone_number": "267-362-9313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 Spruce St # 301B",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075601",
            "country_code": "US",
            "telephone_number": "267-362-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TULIP TREE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-11",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "MARGOLIES",
        "authorized_official_first_name": "MARWIN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "267-362-9313",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL C",
            "identifier": "CW021163",
            "state": "PA"
        }
    ],
    "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 21, 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.