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NPI Code Detail

MEDICARE: JOCELYN WALDES LCSW

MEDICARE:   JOCELYN  WALDES  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
11041C0700XClinical Social Worker44SC05992400NJ
21041C0700XClinical Social Worker087467NY

General Provider Information

NPI Number : 1558836171
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN WALDES LCSW
Provider Business Mailing Address
First Line : 1818 RITTENHOUSE SQ
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-5837
Country : US
Telephone Number : 267-606-0485
Fax Number :
Provider Business Practice Location Address
First Line : 1818 RITTENHOUSE SQ
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-5837
Country : US
Telephone Number : 267-606-0485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2018
Last Update Date : 04/02/2024

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Directions to “ JOCELYN WALDES LCSW” Practice Location

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