Individual provider Active NPI

Tori Mittelman, LCSW

  • Clinical Social Worker
  • Paoli, PA
National Provider Identifier
1386470862
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026613 Issued in PA
Practice address
43 Leopard Rd Ste 203
Paoli, PA 19301-1552
Phone
(215) 282-3004
Fax
(215) 282-8597
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW026613 PA Primary

Addresses

Primary practice location

43 Leopard Rd Ste 203
Paoli, PA 19301-1552

Mailing address

213 Cattell Ave
Collingswood, NJ 08107-2310
Phone (703) 424-0741

Other practice location 1

213 Cattell Ave
Collingswood, NJ 08107-2310
Phone (703) 424-0741 ext. 40741

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
CW026613PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1386470862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 CATTELL AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081072310",
            "telephone_number": "703-424-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 LEOPARD RD STE 203",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011552",
            "telephone_number": "215-282-3004",
            "fax_number": "215-282-8597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Cattell Ave",
            "address_purpose": "LOCATION",
            "city": "Collingswood",
            "state": "NJ",
            "postal_code": "081072310",
            "country_code": "US",
            "telephone_number": "703-424-0741 x40741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITTELMAN",
        "first_name": "TORI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.