Requitta Bellinger

Individual provider Active NPI Case Manager/Care Coordinator · Philadelphia, PA

NPI 1124976832 · NPPES record last updated Mar 18, 2026

Key facts

NPI
1124976832
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 662-4000
NPI assigned
Mar 18, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X PA Yes

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

1051 S 53Rd St
Philadelphia, PA 19143-4147
Phone (609) 206-4244

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Case Manager/Care Coordinator in Pennsylvania

Sources for this page

Verify at the official NPI Registry.