Individual provider Active NPI

Jennifer Przewoznik, LSW

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1447476825
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW125598 Issued in PA
Practice address
The Mazzoni Center
1201 Chestnut St., 2ND Floor
Philadelphia, PA 19107
Phone
(215) 563-0663
NPI assigned
Apr 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW125598 PA Primary

Addresses

Primary practice location

The Mazzoni Center
1201 Chestnut St., 2ND Floor
Philadelphia, PA 19107

Mailing address

110 W Haines St
Philadelphia, PA 19144-2708
Phone (267) 231-7449

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
SW125598PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mazzoni Center Past Accepting new patients
Mazzoni Center Mental Health Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2819/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447476825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W HAINES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442708",
            "telephone_number": "267-231-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE MAZZONI CENTER",
            "address_2": "1201 CHESTNUT ST., 2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-563-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZEWOZNIK",
        "first_name": "JENNIFER",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW125598",
            "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 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.