JACQUELINE JAFFE O'DUOR, LLC (NPI# 1639532237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639532237 |
| Entity Type | Organization |
| Organization Name | JACQUELINE JAFFE O'DUOR, LLC |
| Practice Address |
2305 Fairmount Ave Philadelphia PA 19130-2515 |
| Mailing Address |
5109 Kingsessing Ave Suite 2 Philadelphia PA 19143-4327 |
| Practice Telephone | 2673299393 |
| Mailing Telephone | 2673299393 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | MRS. JACQUELINE JAFFE O'DUOR (LICENSED CLINICAL SOCIAL WORKR) |
| Authorized Official Telephone | 2673299393 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 017676 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAQH ID | 12535207 | 01 |
| Street Address |
2305 FAIRMOUNT AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205050820 | Suzanne Langner | Nurse Practitioner | 2305 Fairmount Ave, Philadelphia, PA 19130-2515 | 2007-04-13 |
| 1174976310 | Kenneth L Johnson IIi | Social Worker | 2305 Fairmount Ave, Philadelphia, PA 19130-2515 | 2016-07-22 |
| 1700259454 | Amanda Geraci | Social Worker | 2305 Fairmount Ave, Philadelphia, PA 19130-2515 | 2015-11-03 |
| 1518338144 | Shaylyn M Forte | Counselor | 2305 Fairmount Ave, Philadelphia, PA 19130-2515 | 2015-10-08 |
| 1790033520 | Jacqueline Jaffe O'duor | Social Worker | 2305 Fairmount Ave, Philadelphia, PA 19130-2515 | 2012-08-28 |
| 1851647192 | Jill Suzanne Maier | Counselor | 2305 Fairmount Ave, Philadelphia, PA 19130-2515 | 2012-07-24 |
| 1902054489 | Katie Jane Santana | Social Worker | 2305 Fairmount Ave, Philadelphia, PA 19130-2515 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871658 | Yawei Song | Social Worker | 1101 Market St Ste 21000, Philadelphia, PA 19107-2934 | 2020-11-05 |
| 1346840170 | Sherell Lorraine Patterson | Social Worker | 8537 Michener Ave, Philadelphia, PA 19150-1601 | 2020-10-30 |
| 1518566892 | Virginia Marie Carr | Social Worker | 2905 Memphis St, Philadelphia, PA 19134-4313 | 2020-10-19 |
| 1265030969 | David Nicholas Wilson | Social Worker | 2419 E Hazzard St, Philadelphia, PA 19125-3112 | 2020-10-14 |
| 1528673274 | Susan Lankin-watts | Social Worker | 313 S 16th St # Pa, Philadelphia, PA 19102-4908 | 2020-09-10 |
| 1346853264 | Carole Tshela Showell | Social Worker | 3605 Haywood St, Philadelphia, PA 19129-1517 | 2020-08-29 |
| 1598377418 | Ivone Alejandra Kovalsky | Social Worker | 3199 D St, Philadelphia, PA 19134-2335 | 2020-08-21 |
| 1245841717 | Leslie Stickler | Social Worker | 3354 Bowman St, Philadelphia, PA 19129-1513 | 2020-08-10 |
| 1831709310 | Christopher L Tyler | Social Worker | 139 E Mount Pleasant Ave, Philadelphia, PA 19119-1830 | 2020-08-09 |
| 1982214664 | Ann Thacker | Social Worker | 4500 Worth St # C303, Philadelphia, PA 19124-3491 | 2020-08-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19130 |
Please comment or provide details below to improve the information on JACQUELINE JAFFE O'DUOR, LLC.
| 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.