Active NPI
Eirini Souroulidi, LSW
- Case Manager/Care Coordinator
- Philadelphia, PA
National Provider Identifier
1265195085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1216 Arch St FL 6
Philadelphia, PA 19107-2835 - Phone
- (267) 940-5519
- Fax
- (267) 940-5528
- NPI assigned
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW138407 | PA | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1216 Arch St FL 6
Philadelphia, PA 19107-2835
Mailing address
1216 Arch St FL 6
Philadelphia, PA 19107-2835
Phone (215) 981-0088
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW138407 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Actionaids, Inc. | Social Worker | Current | Accepting new patients |
Locations
1216 Arch St
Fl 6
Philadelphia, PA 19107
Phone (215) 981-0088
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": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1265195085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 ARCH ST FL 6",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191072835",
"telephone_number": "215-981-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 ARCH ST FL 6",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191072835",
"telephone_number": "267-940-5519",
"fax_number": "267-940-5528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUROULIDI",
"first_name": "EIRINI",
"name_prefix": "Miss",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW138407",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Souneek at Your Service Home Care Agency
- Christine V Soutendijk, MD
- South Eastern Pennsylvania Medical Supplies
- South Philadelphia Dental Associates
- South Philadelphia Dental Group
- South Philadelphia Family Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.