NPIMap

Organization Active NPI

Supportive Older Women's Network

Doing business as Connectedly

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1245533660
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SUPPORTIVE OLDER WOMEN'S NETWORK
Doing business as
Connectedly
Practice address
4100 Main St Ste 403
Philadelphia, PA 19127-1623
Phone
(215) 487-3000
Fax
(215) 487-3111
NPI assigned
Dec 7, 2010
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Marypat B TracyNPI 1255636056
Title
Executive Director
Phone
(215) 487-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4100 Main St Ste 403
Philadelphia, PA 19127-1623

Mailing address

4100 Main St Ste 403
Philadelphia, PA 19127-1623

Other names 1

  • Connectedly Doing business as

National Provider Directory

National Provider Directory

Locations

4100 Main St
Ste 200
Philadelphia, PA 19127
Phone (215) 487-3000

4100 Main St
Ste 403
Philadelphia, PA 19127
Phone (215) 487-3000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1245533660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 MAIN ST STE 403",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MAIN ST STE 403",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271623",
            "telephone_number": "215-487-3000",
            "fax_number": "215-487-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE OLDER WOMEN'S NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "MARYPAT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-487-3000"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connectedly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 25, 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.