JOHN F. KENNEDY COMMUNITY MH/MR CENTER (NPI# 1619088788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619088788 |
Entity Type | Organization |
Organization Name | JOHN F. KENNEDY COMMUNITY MH/MR CENTER |
Practice Address |
112 N Broad St Philadelphia PA 19102-1510 |
Practice Telephone | 2155680860 |
Practice Fax Number | 2155680769 |
Mailing Telephone | 2155680860 |
Mailing Fax Number | 2155680769 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. FARI THOMPSON (DIRECTOR) |
Authorized Official Telephone | 2155680860 |
Authorized Official Credential | LCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
========= | PA | Behavioral Health & Social Service Providers |
Street Address |
112 N BROAD ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19102-1510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851948848 | Annette Kennedy | Licensed Practical Nurse | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
1083261028 | Kelly Courtney | Case Manager/Care Coordinator | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
1093362097 | Doven Brezner | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
1891342804 | Anna Jackson | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
1881241867 | Jasmine Barnes | Case Manager/Care Coordinator | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
1366099343 | Emma Ledden | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
1801443890 | Jasmine Richardson | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
1831746833 | Sean Terence Smith | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
1962059972 | Marybeth Goldberg | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
1104398783 | Jenniya Douglas | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2018-12-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
Find all providers in zip 19102 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
1326649963 | Sarah Michelle Waxman | Social Worker | 2550 Grays Ferry Ave, Philadelphia, PA 19146-2331 | 2020-11-02 |
1467051540 | Maya Cox | Social Worker | 4045 Green St, Philadelphia, PA 19104-1759 | 2020-10-20 |
1679170575 | Wendy Diane Nickerson | Social Worker | 741 S 2nd St, Philadelphia, PA 19147-3425 | 2020-10-04 |
1497362404 | Lora M Rhodes | Social Worker | 925 Chestnut St Ste 321a, Philadelphia, PA 19107-4216 | 2020-09-24 |
1841806395 | Molly Vocino | Social Worker | 925 Chestnut St Ste 422u, Philadelphia, PA 19107-4216 | 2020-09-21 |
1306452065 | Rebecca Cammy | Social Worker | 925 Chestnut St # 422w, Philadelphia, PA 19107-4216 | 2020-09-18 |
1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
1265045272 | Lisa Gabrielle Schilansky | Social Worker | 4813 Springfield Ave Apt 1, Philadelphia, PA 19143-3409 | 2020-08-28 |
1962015537 | Joanna Elizabeth Vanore | Social Worker | 4725 Sheldon St, Philadelphia, PA 19127-1008 | 2020-08-24 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19102 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.