=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437363652
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RITA M. DEMARIA PH.D., M.S.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/09/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4025 CHESTNUT ST
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19104-3054
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-628-2450
-----------------------------------------------------
Fax | 215-643-1271
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 738
-----------------------------------------------------
City | SPRING HOUSE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19477-0738
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-628-2450
-----------------------------------------------------
Fax | 215-643-1271
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | SW012482L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | MF000274
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------