MEDICARE: PHILADELPHIA SOCIAL WORK LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1447191135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILADELPHIA SOCIAL WORK LLC

Provider Business Mailing Address
First Line	:	2219 CARPENTER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-2517
Country	:	US
Telephone Number	:	215-565-8716
Fax Number	:

Provider Business Practice Location Address
First Line	:	2219 CARPENTER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-2517
Country	:	US
Telephone Number	:	610-764-4567
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/OWNER
Name	:	MS. MATTEA BETH LEWITT
Credential	:	MSW, LCSW
Telephone Number	:	215-565-8716

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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