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NPI Code Detail

MEDICARE: MR. OSWALD SMALLS LSW

MEDICARE:  MR. OSWALD  SMALLS  LSW
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 WorkerSW006774LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11646889000OTHERPAMAGELLAN
27849271OTHERPAAETNA
32320935000OTHERPAPERSONAL CHOICE

General Provider Information

NPI Number : 1700936861
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. OSWALD SMALLS LSW
Provider Business Mailing Address
First Line : 7600 STENTON AVE
Second Line : SUITE 1F
City : PHILADELPHIA
State : PA
Zip : 19118-3231
Country : US
Telephone Number : 215-247-5400
Fax Number : 215-247-5175
Provider Business Practice Location Address
First Line : 7600 STENTON AVE
Second Line : SUITE 1F
City : PHILADELPHIA
State : PA
Zip : 19118-3231
Country : US
Telephone Number : 215-247-5400
Fax Number : 215-247-5175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1558313304 — MS. MARTHA MARY DURKIN MSW
Practice Location Address:
7600 STENTON AVE , SUITE 1-F
PHILADELPHIA, PA
19118-3231
Practice Phone: 215-247-5400
Practice Fax: 215-247-5175
1750305082 — DR. DORIS ELAINE ROBINSON MSW, PHD
Practice Location Address:
7600 STENTON AVE , SUITE 1E
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19118-3231
Practice Phone: 215-248-1970
Practice Fax: 215-248-2975
1346339397 — BARBARA ELLEN ZIV M.D.
Practice Location Address:
7600 STENTON AVE , SUITE 1 G
PHILADELPHIA, PA
19118-3231
Practice Phone: 215-242-4802
Practice Fax:
1184787137 — EVERGREEN COUNSELING ASSOCIATES
Practice Location Address:
7600 STENTON AVE , SUITE 1F
PHILADELPHIA, PA
19118-3231
Practice Phone: 215-247-5400
Practice Fax: 215-247-5175
1114084043 — DR. SHEILA MCMANUS PH.D.
Practice Location Address:
7600 STENTON AVE , SUITE 1-I
PHILADELPHIA, PA
19118-3231
Practice Phone: 215-260-2367
Practice Fax:
1508914664 — DR. KATHARINE BERTOLET PSY.D.
Practice Location Address:
7600 STENTON AVE , SUITE ONE-I
PHILADELPHIA, PA
19118-3231
Practice Phone: 215-247-5440
Practice Fax: 215-887-0719

Directions to “ MR. OSWALD SMALLS LSW” Practice Location

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