DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. MOLLY SPENCER DISTEFANO LICSW

MEDICARE: MS. MOLLY SPENCER DISTEFANO LICSW
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
11041C0700XClinical Social Worker128000MA

General Provider Information

NPI Number : 1386079382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MOLLY SPENCER DISTEFANO LICSW
Provider Business Mailing Address
First Line : 1310 N HOPE ST APT 1
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-4625
Country : US
Telephone Number : 267-844-2596
Fax Number :
Provider Business Practice Location Address
First Line : 1310 N HOPE ST APT 1
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-4625
Country : US
Telephone Number : 267-844-2596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2013
Last Update Date : 02/04/2026

Similar Medicare Providers

1689672479 — THEODORE B PORTER D.O.
Practice Location Address:
1413 W MOYAMENSING AVE , 1ST FLOOR
PHILADELPHIA, PA
19145-4625
Practice Phone: 267-639-2555
Practice Fax: 267-639-2632
1912957424 — WILLIAM EDWARD HOLL PT
Practice Location Address:
1413 W MOYAMENSING AVE , 1ST FLOOR
PHILADELPHIA, PA
19145-4625
Practice Phone: 267-639-2555
Practice Fax: 267-639-2632
1003829219 — MR. CARL C CONTINO MS, PT
Practice Location Address:
1413 W MOYAMENSING AVE
PHILADELPHIA, PA
19145-4625
Practice Phone: 267-639-2555
Practice Fax: 267-639-2632
1942316195 — CATALYST PHYSICAL THERAPY AND WELLNESS CENTER, INC.
Practice Location Address:
1413 W MOYAMENSING AVE , 1ST FLOOR
PHILADELPHIA, PA
19145-4625
Practice Phone: 267-639-2555
Practice Fax: 267-639-2632
1831216043 — DR. ADAM J WEINSTEIN M.D.
Practice Location Address:
1413 W MOYAMENSING AVE FL 1
PHILADELPHIA, PA
19145-4625
Practice Phone: 267-639-2555
Practice Fax: 267-328-6220
1619279825 — PREMIER PHYSICAL THERAPY, P.C.
Practice Location Address:
1413 W MOYAMENSING AVE , 1ST FLOOR
PHILADELPHIA, PA
19145-4625
Practice Phone: 267-639-2555
Practice Fax: 267-639-2632

Directions to “ MS. MOLLY SPENCER DISTEFANO LICSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.