Active NPI
Yusuf Quinton Mu'Min, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1376136796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW026589
- Practice address
- 3900 Woodland Ave
Philadelphia, PA 19104-4551 - Phone
- (667) 415-9084
- NPI assigned
- Feb 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW026589 | PA | Primary |
Addresses
Primary practice location
3900 Woodland Ave
Philadelphia, PA 19104-4551
Mailing address
5414 Montague St
Philadelphia, PA 19124-1417
Other practice location 1
1 Bala Ave Ste 110
Bala Cynwyd, PA 19004-3207
Phone (267) 997-2529
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 |
|---|---|---|---|
| CW026589 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1376136796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5414 MONTAGUE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191241417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "667-415-9084"
}
],
"practiceLocations": [
{
"address_1": "1 Bala Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Bala Cynwyd",
"state": "PA",
"postal_code": "190043207",
"country_code": "US",
"telephone_number": "267-997-2529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MU'MIN",
"first_name": "YUSUF",
"middle_name": "QUINTON",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-17",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW026589",
"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 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.