Individual provider Active NPI

Nadia Darbouze, LSW

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1720476898
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW130587 Issued in PA
Practice address
1235 Pine St
Philadelphia, PA 19107-5945
Phone
(215) 735-9379
NPI assigned
Dec 24, 2014
Last updated
Dec 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW130587 PA Primary
Social Worker 104100000X 44SL05947800 NJ

Addresses

Primary practice location

1235 Pine St
Philadelphia, PA 19107-5945

Mailing address

267B Shawmont Ave
Philadelphia, PA 19128-4208
Phone (215) 479-0774

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
44SL05947800NJMDSocial Worker
SW130587PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Darbouze, LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

419 Davisville Rd
Willow Grove, PA 19090
Phone (215) 479-0774

Organizations & group practices 1

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": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1720476898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267B SHAWMONT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284208",
            "telephone_number": "215-479-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075945",
            "telephone_number": "215-735-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBOUZE",
        "first_name": "NADIA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130587",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05947800",
            "primary": false
        }
    ],
    "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 Dec 24, 2014; 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.