Active NPI
Holistic Therapeutic Arts LLC
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1619239779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016368
- Legal business name
- HOLISTIC THERAPEUTIC ARTS LLC
- Practice address
- 3580 Indian Queen LN
Philadelphia, PA 19129-1540 - Phone
- (215) 360-3489
- NPI assigned
- Jun 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Ragland, LCSW
- Title
- Owner
- Phone
- (215) 360-3489
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW016368 | PA | Primary |
Addresses
Primary practice location
3580 Indian Queen LN
Philadelphia, PA 19129-1540
Mailing address
35 W Mount Airy Ave
Philadelphia, PA 19119-2402
Phone (215) 360-3489
National Provider Directory
National Provider DirectoryLocations
3580 Indian Queen Ln
Philadelphia, PA 19129
Phone (215) 774-1306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339545600000",
"number": "1619239779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 W MOUNT AIRY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191192402",
"telephone_number": "215-360-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 INDIAN QUEEN LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291540",
"telephone_number": "215-360-3489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC THERAPEUTIC ARTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-13",
"last_updated": "2012-06-13",
"status": "A",
"authorized_official_last_name": "RAGLAND",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-360-3489",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW016368",
"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 Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.