Organization Active NPI

Epiphany Counseling and Consulting

  • Social Worker
  • Bala Cynwyd, PA
National Provider Identifier
1356907745
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Candace Warren, LCSWNPI 1588115422
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)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL candace@Epiphanycounselingandconsulting.com

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.