Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EILEEN B ADDIS, LCSW
Deactivated Sole ProprietorClinical Social Worker · PHILADELPHIA, PA
This NPI has been deactivated.
The record was deactivated on June 28, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1336657709
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 18, 2018 (3.441095890411 yrs)
- Last Updated
- Jul 5, 2024
- Deactivated
- Jun 28, 2021
- License
-
CW018387 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4100 MAIN ST STE 403PHILADELPHIA, PA, 191271623Browse PA providers · Browse ZIP 19127
- Phone
- 2154873000
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| RISA M. MANDELL | MSW | 1962494096 |
| GAIL DAVIDOFF | LCSW | 1881688281 |
| MRS. TAMAR JUDITH PORT | MSS | 1710975834 |
| JANINE M. STOFFEY | LCSW | 1508843459 |
| MS. LAURIE BARRON | MSS, LCSW | 1790765964 |
| MS. FAYE LANDAU KAHN | L.C.S.W. | 1477524437 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.