MEDICARE: MARTA PAWLACZEK

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	1041C0700X	Clinical Social Worker	CW026395	PA

General Provider Information

NPI Number	:	1487391421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTA PAWLACZEK

Provider Business Mailing Address
First Line	:	405 E PHIL ELLENA ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-1944
Country	:	US
Telephone Number	:	646-589-2060
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 E PHIL ELLENA ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-1944
Country	:	US
Telephone Number	:	646-589-2060
Fax Number	:

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

Provider Enumeration Date	:	05/19/2022
Last Update Date	:	12/18/2025

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Directions to “ MARTA PAWLACZEK ” Practice Location

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