Individual provider Active NPI

Eirini Souroulidi, LSW

  • Case Manager/Care Coordinator
  • Philadelphia, PA
National Provider Identifier
1265195085
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SW138407PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Actionaids, Inc. Social Worker CurrentSince Jan 26, 2025 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": []
}

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 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.

Verify at the official NPI Registry.