Healthcare Provider Details

I. General information

NPI: 1982930962
Provider Name (Legal Business Name): JANET AMANDA CASTELLINI M.S.S., L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2009
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1518 WAVERLY ST
PHILADELPHIA PA
19146-1633
US

IV. Provider business mailing address

1518 WAVERLY ST
PHILADELPHIA PA
19146-1633
US

V. Phone/Fax

Practice location:
  • Phone: 609-504-2522
  • Fax: 215-732-8454
Mailing address:
  • Phone: 609-504-2522
  • Fax: 215-732-8454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05428100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW016387
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: