MR. JORDAN DANIEL SEIDLE (NPI# 1861737066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861737066 |
| Entity Type | Individual |
| Full Name | MR. JORDAN DANIEL SEIDLE |
| Credential | MA, LPC |
| Practice Address |
4700 Wissahickon Ave Philadelphia PA 19144-4248 |
| Mailing Address |
1601 Cherry St Suite 11511 Philadelphia PA 19102-1320 |
| Practice Telephone | 2159672130 |
| Practice Fax Number | 2159672171 |
| Mailing Telephone | 2152557822 |
| Mailing Fax Number | 2152557825 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2016-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC005900 | PA | Behavioral Health & Social Service Providers |
| Street Address |
4700 WISSAHICKON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144-4248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191766 | Donna L. Torrisi | Nurse Practitioner | 4700 Wissahickon Ave, Suite 119, Philadelphia, PA 19144-4248 | 2005-08-11 |
| 1639792088 | Naa-fofoi Dorsey Wharton | Nurse Practitioner | 4700 Wissahickon Ave, Building D, Philadelphia, PA 19144 | 2020-05-20 |
| 1871124115 | Khadija Ziyadeh | Nurse Practitioner | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2020-01-27 |
| 1578057576 | Joana Ruby Callanta Bueno | Nurse Practitioner | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2018-06-22 |
| 1285141242 | Veronica Rose Burke | Dental Hygienist | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2017-12-29 |
| 1629583497 | Joi Elizabeth Goodwin | Nurse Practitioner | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2017-12-03 |
| 1710411749 | Jennifer Schockemoehl | Registered Nurse | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2017-04-17 |
| 1659812964 | Resources for Human Development | Community/Behavioral Health | 4700 Wissahickon Ave, Suite 126, Philadelphia, PA 19144-4248 | 2017-03-20 |
| 1457890113 | Ritechoice Pharmacy Iv, LLC | Pharmacy | 4700 Wissahickon Ave, Building E, Suite 100, Philadelphia, PA 19144-4248 | 2017-02-14 |
| 1891142683 | Kareemah Grossett | Social Worker | 4700 Wissahickon Ave, Ste 118, Philadelphia, PA 19144-4248 | 2016-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214928 | Tatyana Sharron Hill | Counselor | 3700 Market St Ste 301, Philadelphia, PA 19104-3143 | 2020-10-29 |
| 1013516806 | Being, LLC | Counselor | 1736 Kendrick St, Philadelphia, PA 19152-1816 | 2020-10-22 |
| 1821605809 | Jessica Briddell-hasben | Counselor | 829 Grakyn Ln, Philadelphia, PA 19128-2005 | 2020-09-24 |
| 1538776653 | Eric Brown | Counselor | 8227 Thouron Ave, Philadelphia, PA 19150-2018 | 2020-09-24 |
| 1740896661 | Keya Middleton | Counselor | 2030 N 56th St, Philadelphia, PA 19131-3132 | 2020-09-16 |
| 1679189641 | Teen Support Center, LLC | Counselor | 1528 Walnut St Ste 2012, Philadelphia, PA 19102-3613 | 2020-09-16 |
| 1982219879 | Dathan Landon-freeman | Counselor | 7201 Frankford Ave Ste 1017, Philadelphia, PA 19135-1010 | 2020-09-09 |
| 1700490422 | Outside The Box Strategies, LLC | Counselor | 5340 Angora Ter Fl 2, Philadelphia, PA 19143-3114 | 2020-09-01 |
| 1346853355 | Lauren Dattilo | Counselor | 10175 Bustleton Ave, Philadelphia, PA 19116-3718 | 2020-08-28 |
| 1487265229 | Staci A Robinson | Counselor | 3925 N Smedley St, Philadelphia, PA 19140-3420 | 2020-08-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19144 |
Please comment or provide details below to improve the information on MR. JORDAN DANIEL SEIDLE.
| 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.