JOHN F. KENNEDY COMMUNITY MH/MR CENTER


Address: 112 N Broad St, Philadelphia, PA 19102-1510
Phone: 2155680860

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
========= PA Behavioral Health & Social Service Providers

Office Location

Street Address 112 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19102-1510

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City PHILADELPHIA
Zip Code 19102

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Dataset Information

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.

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