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NPI Code Detail

MEDICARE: DR. KATHERINE LEDWITH DSW, MSW, LCSW

MEDICARE:  DR. KATHERINE  LEDWITH  DSW, MSW, LCSW
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
1104100000XSocial WorkerSW124679PA
2104100000XSocial Worker44SL05361500NJ
31041C0700XClinical Social WorkerCW015979PA

General Provider Information

NPI Number : 1487794962
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE LEDWITH DSW, MSW, LCSW
Provider Business Mailing Address
First Line : 100 S BROAD ST STE 1522
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19110-1026
Country : US
Telephone Number : 215-606-7674
Fax Number :
Provider Business Practice Location Address
First Line : 100 S BROAD ST STE 1522
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19110-1026
Country : US
Telephone Number : 215-606-7674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 03/17/2018

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Directions to “ DR. KATHERINE LEDWITH DSW, MSW, LCSW” Practice Location

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