MEDICARE: THE QUIET MIND CLINIC 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	:	1669350567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE QUIET MIND CLINIC LLC

Provider Business Mailing Address
First Line	:	390 COMMERCE DR # 309
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2600
Country	:	US
Telephone Number	:	215-647-0715
Fax Number	:	215-714-3480

Provider Business Practice Location Address
First Line	:	601 NEW BRITAIN RD STE 120
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18901-2992
Country	:	US
Telephone Number	:	215-647-0715
Fax Number	:	215-714-3480

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER DEWITT
Credential	:	MSW, LCSW
Telephone Number	:	215-647-0715

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	09/09/2025

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Directions to “THE QUIET MIND CLINIC LLC ” Practice Location

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