MEDICARE: MS. MONICA H. GAFFIN LCSW

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	CW014809	PA

General Provider Information

NPI Number	:	1487894796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MONICA H. GAFFIN LCSW

Provider Business Mailing Address
First Line	:	113 LAVENDER DR
Second Line	:
City	:	YARDLEY
State	:	PA
Zip	:	19067-5799
Country	:	US
Telephone Number	:	215-805-2426
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 CRABTREE DR
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19055-1617
Country	:	US
Telephone Number	:	215-805-2426
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2009
Last Update Date	:	02/28/2022

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