Healthcare Provider Details

I. General information

NPI: 1902794407
Provider Name (Legal Business Name): DARIA PODELL MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W LEHIGH AVE
PHILADELPHIA PA
19132-2652
US

IV. Provider business mailing address

425 REDLEAF RD
WYNNEWOOD PA
19096-1623
US

V. Phone/Fax

Practice location:
  • Phone: 484-270-6200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: