MRS. MARYANN WALL


Address: 7340 Jackson St, Philadelphia, PA 19136-4008
Phone: 2156245691

MRS. MARYANN WALL (NPI# 1730115536) 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) 1730115536
Entity Type Individual
Full Name MRS. MARYANN WALL
Practice Address 7340 Jackson St
Philadelphia
PA 19136-4008
Mailing Address 58 Nathan Ct
Newtown
PA 18940-3430
Practice Telephone 2156245691
Practice Fax Number 2156245816
Mailing Telephone 2156245691
Mailing Fax Number 2156245816
Enumeration Date 2006-06-23
Last Update Date 2011-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
CW013986 PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA MAGELLAN MHS 2139104000 01
PA AETNA 7073245 01

Other Providers MARYANN WALL

NPI Name Taxonomy Address Enumeration
1528065695 Maryann Purdy Wall Otolaryngology 940 Central Park Dr, Suite 207, Steamboat Springs, CO 80487-8816 2005-07-05

Office Location

Street Address 7340 JACKSON ST
City PHILADELPHIA
State PA
Zip Code 19136-4008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104032226 Gabrielle Decker-o'gara Psychoanalyst 7340 Jackson St, Philadelphia, PA 19136-4008 2007-05-15
1770599482 Margaret M. Hohenstein Social Worker 7340 Jackson St, Philadelphia, PA 19136-4008 2006-08-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801361274 Mary Ann Theresa Mcintyre Social Worker 3501 Solly Avenue, Philadelphia, PA 19136 2018-10-11
1396227732 Chiropractor Dynamic PC Chiropractor 7337 Frankford Ave, Philadelphia, PA 19136 2018-09-01
1932689478 Jenna Nicole Harrison Physical Therapist 7343-7345 Frankford Avenue, Philadelphia, PA 19136 2018-08-15
1063932069 Rachel Alexa Allen Counselor 3254 Teesdale Street, Philadelphia, PA 19136 2017-06-21
1962944371 Erin Hartey Counselor 4323 Vista St, Phila, PA 19136 2016-11-16
1932657715 Janice Lisette Frisby Counselor 8454 Jackson Street, Philadelphia, PA 19136 2016-09-21
1326428541 General Healthcare Agency Community/Behavioral Health 4616 Ashville St, Philadelphia, PA 19136 2015-06-03
1215314653 Sincere Home Health Care Service In Home Supportive Care 4510 Aberdale Road, Philadelphia, PA 19136 2015-05-06
1497159420 Creative Steps Incorporated Clinic/Center 8045 Frankford Avenue, Philadelphia, PA 19136 2014-10-20
1316379779 Epic Physicians L.L.C. Clinic/Center 8021 Frankford Ave, Philadelphia, PA 19136 2013-08-07
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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 19136

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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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