Monica Regina Jutkowitz, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012906 Issued in PA

Practice address

1528 Walnut St
Suite 705
Philadelphia, PA 19102-3604

Phone

(215) 732-1650

NPI assigned

Apr 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295950426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 LAURANCE AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271921",
            "telephone_number": "215-732-1650",
            "fax_number": "215-886-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST",
            "address_2": "SUITE 705",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023604",
            "telephone_number": "215-732-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUTKOWITZ",
        "first_name": "MONICA",
        "middle_name": "REGINA",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Marie Justice
• Ledro Justice, MD
• Travis Logan Justice, BA, CADC
• William Justice, MD
• Judith I. Justman, M.D.
• Juvenile Jusice Center of Philadelphia
• Juvenile Justice Center of Philadelphia
• Pius Juwle, COUNSELOR III
• JWD Inc
• Soma Jyonouchi, MD

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.