Queen Village Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

QUEEN VILLAGE THERAPY, LLC

Practice address

1150 1St Ave Ste 511
King of Prussia, PA 19406

Phone

(267) 585-6055

NPI assigned

Oct 14, 2021

Last updated

Oct 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kaitlyn McMahon, LCSW

Title

Owner/Therapist

Phone

(267) 585-6055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaitlyn Howell, LCSW, LISW

  • Clinical Social Worker
  • West Des Moines, IA
  • NPI 1154918449
  NPD

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1801559125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 S 4TH ST UNIT 63825",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471644",
            "telephone_number": "267-585-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 1ST AVE STE 511",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "267-585-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN VILLAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "267-585-6055",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Puzio, PSY.D.
• Pyramid Online Counseling LLC
• Marie Quainoo, COTA
• Quality Life Healthcare LLC
• Marisa Lynne Quattrone, M.D.
• Alberta Quiah
• Paul G. Quinn, D.C.
• Richard Clarence Rader, RPH
• Olga Semyonovna Radkevich-Brown, M.D., PH.D.
• Sophia Raff

• Clinical Social Worker in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.