Liberty Human Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIBERTY HUMAN SERVICES, LLC

Practice address

985 Horsham Rd
North Wales, PA 19454-1410

Phone

(267) 574-3900

NPI assigned

Dec 15, 2023

Organization subpart

No

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

Authorized official

Name

Pallavi Shinde

Title

Ceo

Phone

(267) 575-2990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1164290482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 HORSHAM RD",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541410",
            "telephone_number": "267-574-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 HORSHAM RD",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541410",
            "telephone_number": "267-574-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HUMAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "SHINDE",
        "authorized_official_first_name": "PALLAVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-575-2990"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in North Wales, PA
• Providers in North Wales, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.