Healthcare Provider Details

I. General information

NPI: 1780709519
Provider Name (Legal Business Name): LINDA TOMKIN SOLIT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10133 VERREE RD JFCS
PHILA PA
19116
US

IV. Provider business mailing address

10133 VERREE RD JEWISH FAMILY & CHILDRENS SERVICE
PHILA PA
19116
US

V. Phone/Fax

Practice location:
  • Phone: 215-673-7741
  • Fax: 215-673-9034
Mailing address:
  • Phone: 215-673-7741
  • Fax: 215-673-9034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW002213L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: