Individual provider Active NPI

Katherine Ledwith, DSW, MSW, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1487794962
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015979 Issued in PA
Practice address
100 S Broad St Ste 1522
Philadelphia, PA 19110-1026
Phone
(215) 606-7674
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW124679 PA
Social Worker 104100000X 44SL05361500 NJ
Clinical Social Worker 1041C0700X CW015979 PA Primary

Addresses

Primary practice location

100 S Broad St Ste 1522
Philadelphia, PA 19110-1026

Mailing address

100 S Broad St Ste 1522
Philadelphia, PA 19110-1026
Phone (215) 606-7674

Other practice location 1

1235 Pine St
Philadelphia, PA 19107-5945
Phone (215) 735-9379

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
44SL05361500NJMDSocial Worker
SW124679PAMDSocial Worker
CW015979PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487794962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 1522",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101026",
            "telephone_number": "215-606-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 1522",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101026",
            "telephone_number": "215-606-7674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Pine St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075945",
            "country_code": "US",
            "telephone_number": "215-735-9379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDWITH",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DSW, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW124679",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05361500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015979",
            "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 Mar 17, 2018; 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.