Individual provider Active NPI

Nina Sara Farley, MSW, LSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1194679456
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW143666 Issued in PA
Practice address
230 S Broad St Ste 2050
Philadelphia, PA 19102-4121
Phone
(215) 563-7863
Fax
(215) 563-5815
NPI assigned
Feb 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW143666 PA Primary

Addresses

Primary practice location

230 S Broad St Ste 2050
Philadelphia, PA 19102-4121

Mailing address

4422 Osage Ave # 3E
Philadelphia, PA 19104-5199
Phone (551) 795-6623

Other names 1

  • Niko Farley Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW143666PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walnut Psychotherapy Center Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1194679456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 OSAGE AVE # 3E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045199",
            "telephone_number": "551-795-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S BROAD ST STE 2050",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024121",
            "telephone_number": "215-563-7863",
            "fax_number": "215-563-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "NINA",
        "middle_name": "SARA",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW143666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKO",
            "last_name": "FARLEY",
            "credential": "MSW, LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Feb 24, 2026; 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.