MR. EDWARD RANDALL FAULKNER (NPI# 1790936599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790936599 |
| Entity Type | Individual |
| Full Name | MR. EDWARD RANDALL FAULKNER |
| Credential | LSW |
| Practice Address |
1201 Chestnut St 2nd Floor Philadelphia PA 19107-4123 |
| Mailing Address |
920 Ellsworth St Philadelphia PA 19147-4621 |
| Practice Telephone | 2155630663 |
| Mailing Telephone | 3523592648 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | SW126856 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1201 CHESTNUT ST 2ND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528120953 | Judith Morrissey | Social Worker | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2006-12-14 |
| 1760671275 | Eucharia Devarona Borden | Social Worker | 1201 Chestnut St, Floor 2, Philadelphia, PA 19107-4123 | 2007-10-20 |
| 1992901169 | Carly Joanna Schulman | Social Worker | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2007-06-25 |
| 1699812669 | Joseph F. Dubak | Counselor | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2007-01-31 |
| 1962557413 | Liza Linder | Counselor | 1201 Chestnut St, Philadelphia, PA 19107-4123 | 2007-01-24 |
| 1790839595 | Lee Fulton Carson | Counselor | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2007-01-22 |
| 1225188428 | Mazzoni Center | Social Worker | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2007-01-11 |
| 1811044373 | Alice Chang | Psychiatry & Neurology | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2007-01-05 |
| 1649332966 | Cherie Older | Social Worker | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| 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 | 19107 |
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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.