Organization Active NPI

Innovative Treatment Solutions

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1457727364
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016432 Issued in PA
Legal business name
INNOVATIVE TREATMENT SOLUTIONS
Practice address
2190 Hornig Rd
Philadelphia, PA 19116-4202
Phone
(215) 767-7081
NPI assigned
Aug 14, 2015
Last updated
Aug 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Candace McGinley, MSW, CEAP, QSAP
Title
Peer Counselor
Phone
(215) 767-7081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW016432 PA Primary

Addresses

Primary practice location

2190 Hornig Rd
Philadelphia, PA 19116-4202

Mailing address

PO Box 840
Huntingdon Valley Main
Huntingdon Valley, PA 19006-0840
Phone (215) 767-7081

National Provider Directory

National Provider Directory

Locations

2190 Hornig Rd
Philadelphia, PA 19116
Phone (215) 767-7081

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1457727364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840",
            "address_2": "HUNTINGDON VALLEY MAIN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190060840",
            "telephone_number": "215-767-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 HORNIG RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191164202",
            "telephone_number": "215-767-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE TREATMENT SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "MCGINLEY",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "PEER COUNSELOR",
        "authorized_official_telephone_number": "215-767-7081",
        "authorized_official_credential": "MSW, CEAP, QSAP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016432",
            "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 Aug 14, 2015; 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.