Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NISSA SAGE GUSTAFSON, LSW
ActiveNISSA SAGE GUSTAFSON, LSW is a Social Worker healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1508759382 is currently active in the NPPES registry. Verify at CMS.
Social Worker · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1508759382
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2025 (1.2167332341379 yrs)
- Last Updated
- May 31, 2025
- License
-
SW141961 (PA)
Practice Information
- Address
-
112 E ALLEN ST UNIT 3PHILADELPHIA, PA, 191254189Browse PA providers · Browse ZIP 19125
- Phone
- 2152789444
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| MARY BETH BOULDEN | LCSW, LPC | 1588627038 |
| MRS. SAROJ SINGH | LSW | 1134132012 |
| JOHN F. COFFEY | LSW | 1043223928 |
| ARETHA A VERNER | SW | 1225041197 |
| MS. KATHLEEN M HAYS | SW | 1942313234 |
| MRS. YVONNE JACKSON WALSH | SW | 1356454680 |
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.