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NPI Code Detail

MEDICARE: CATHOLIC SOCIAL SERVICES

MEDICARE: CATHOLIC SOCIAL SERVICES
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
11041C0700XClinical Social WorkerPA
2251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12274222000OTHERPAINDEPENDECE BC
24477063OTHERPAAETNA

General Provider Information

NPI Number : 1659316461
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC SOCIAL SERVICES
Provider Business Mailing Address
First Line : 222 N 17TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-1202
Country : US
Telephone Number : 215-587-3798
Fax Number : 215-587-2479
Provider Business Practice Location Address
First Line : 100 LEVITTOWN PKWY
Second Line :
City : LEVITTOWN
State : PA
Zip : 19054-3502
Country : US
Telephone Number : 215-945-2550
Fax Number : 215-945-3595
Authorized Official
Title or Position : DEPUTY SECRETARY
Name : JAMES AMATO
Credential :
Telephone Number : 215-587-3754
Provider Enumeration Date : 06/17/2006
Last Update Date : 05/28/2009

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Directions to “CATHOLIC SOCIAL SERVICES ” Practice Location

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