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NPI Code Detail

MEDICARE: MRS. JAMIE ELIZABETH PLOFSKY LCSW

MEDICARE: MRS. JAMIE ELIZABETH PLOFSKY 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 Worker085713NY
21041C0700XClinical Social Worker44SC06002500NJ
31041C0700XClinical Social WorkerCW021396PA

General Provider Information

NPI Number : 1871061523
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAMIE ELIZABETH PLOFSKY LCSW
Provider Business Mailing Address
First Line : 1500 CHESTNUT ST STE 2
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-2700
Country : US
Telephone Number : 215-910-4852
Fax Number :
Provider Business Practice Location Address
First Line : 1500 CHESTNUT ST STE 2
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-2700
Country : US
Telephone Number : 215-910-4852
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2018
Last Update Date : 12/23/2022

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