Healthcare Provider Details

I. General information

NPI: 1881305688
Provider Name (Legal Business Name): KAREEMA ABDUSSALAAM LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6023 MARKET ST
PHILADELPHIA PA
19139-3880
US

IV. Provider business mailing address

1500 CHESTNUT ST STE 2
PHILADELPHIA PA
19102-2700
US

V. Phone/Fax

Practice location:
  • Phone: 215-834-3773
  • Fax:
Mailing address:
  • Phone: 215-834-3773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0012185
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW023484
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: