Healthcare Provider Details

I. General information

NPI: 1548393838
Provider Name (Legal Business Name): LORI ELLYN WARSAW MSW LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 ARCH ST 5TH FLOOR JFCS
PHILADELPHIA PA
19103-1300
US

IV. Provider business mailing address

2100 ARCH ST 5TH FLOOR JEWISH FAMILY & CHILDRENS SERV
PHILADELPHIA PA
19103-1300
US

V. Phone/Fax

Practice location:
  • Phone: 215-496-9700
  • Fax: 215-496-0833
Mailing address:
  • Phone: 215-496-9700
  • Fax: 215-496-0833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: