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NPI Code Detail

MEDICARE: CONNECTIONS FAMILY SERVICES, INC.

MEDICARE: CONNECTIONS FAMILY SERVICES, INC.
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 WorkerCW013003PA

General Provider Information

NPI Number : 1578773339
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONNECTIONS FAMILY SERVICES, INC.
Provider Business Mailing Address
First Line : 2757 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19133-1727
Country : US
Telephone Number : 215-378-5528
Fax Number :
Provider Business Practice Location Address
First Line : 2757 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19133-1727
Country : US
Telephone Number : 215-378-5528
Fax Number :
Authorized Official
Title or Position : EXECUTIVE PRESIDENT
Name : MRS. SALLY DENISE MAURER
Credential : LCSW
Telephone Number : 215-378-5528
Provider Enumeration Date : 05/23/2007
Last Update Date : 08/22/2020

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