MEDICARE: ANN L HITCHINS LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	SW007898L	PA

General Provider Information

NPI Number	:	1316238777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN L HITCHINS LSW

Provider Business Mailing Address
First Line	:	331 W CLIVEDEN STREET
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119
Country	:	US
Telephone Number	:	610-212-0245
Fax Number	:

Provider Business Practice Location Address
First Line	:	331 W CLIVEDEN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-3636
Country	:	US
Telephone Number	:	610-212-0245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2011
Last Update Date	:	04/20/2011

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Directions to “ ANN L HITCHINS LSW” Practice Location

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