MEDICARE: SONJA SPANGLER 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	CW025049	PA

General Provider Information

NPI Number	:	1972339539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONJA SPANGLER LCSW

Provider Business Mailing Address
First Line	:	238 ADAMS DR
Second Line	:
City	:	CHESTERBROOK
State	:	PA
Zip	:	19087-1128
Country	:	US
Telephone Number	:	610-952-2725
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 S 17TH ST STE 2501
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-6206
Country	:	US
Telephone Number	:	215-882-9785
Fax Number	:

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

Provider Enumeration Date	:	09/10/2024
Last Update Date	:	01/09/2025

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