Individual provider Active NPI

Jodi Houlon, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1255814141
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019843 Issued in PA
Practice address
7700 Germantown Ave
Philadelphia, PA 19118-3549
Phone
(215) 247-1172
Fax
(215) 247-0663
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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 CW019843 PA Primary

Addresses

Primary practice location

7700 Germantown Ave
Philadelphia, PA 19118-3549

Mailing address

6657 Wayne Ave
Philadelphia, PA 19119-3521

Other practice location 1

6657 Wayne Ave
Philadelphia, PA 19119-3521
Phone (215) 266-1519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219001931 PA Practitioner - Clinical Social Worker 9739523671 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019843PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sri Psychological Services, PC CurrentSince Mar 1, 2024 Accepting new patients
Main Line Therapy Solutions, LLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

600 Haverford Rd
Ste G104
Haverford, PA 19041
Phone (610) 553-5303

261 Old York Rd
Ste 318
Jenkintown, PA 19046
Phone (215) 371-3490

630 Germantown Pike
#A
Lafayette Hl, PA 19444
Phone (610) 649-6344

Organizations & group practices 2

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1255814141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6657 WAYNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183549",
            "telephone_number": "215-247-1172",
            "fax_number": "215-247-0663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6657 Wayne Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191193521",
            "country_code": "US",
            "telephone_number": "215-266-1519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOULON",
        "first_name": "JODI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.