Active NPI
Epiphany Counseling and Consulting
- Social Worker
- Bala Cynwyd, PA
National Provider Identifier
1356907745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- EPIPHANY COUNSELING AND CONSULTING
- Practice address
- 225 Presidential Blvd Ste 103
Bala Cynwyd, PA 19004-1258 - Phone
- (215) 356-4033
- NPI assigned
- May 12, 2019
- Last updated
- Jul 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candace Warren, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (215) 740-4236
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
225 Presidential Blvd Ste 103
Bala Cynwyd, PA 19004-1258
Mailing address
4067 Balwynne Park Rd
Philadelphia, PA 19131-1601
Phone (215) 740-4236
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | candace@Epiphanycounselingandconsulting.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Bala Cynwyd, PA
- NPI 1588115422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657670400000",
"number": "1356907745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4067 BALWYNNE PARK RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191311601",
"telephone_number": "215-740-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 PRESIDENTIAL BLVD STE 103",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041258",
"telephone_number": "215-356-4033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPIPHANY COUNSELING AND CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-12",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "CANDACE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "215-740-4236",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "candace@Epiphanycounselingandconsulting.com",
"affiliation": "N",
"endpointDescription": "Business email address BAA secured",
"address_1": "225 Presidential Blvd Ste 103",
"city": "Bala Cynwyd",
"state": "PA",
"country_code": "US",
"postal_code": "190041258",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bala Cynwyd, PA
- Kyle W Engelbart, CRNP
- Enlightened Solutions Philadelphia ,LLC
- Epeople Health Care Inc (eKidzCare)
- Epic Health Services (PA), LLC (Aveanna Healthcare)
- Epic Professionals LLC
- Elchanan Yochanan Eskenazi, LSW
- Eudora Durable Medical Equipment Inc
- Euphoria Health LLC
- Kaitlynn Ewing
- Exeter Medical Alliace
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.