MR. KENRICK WADSWORTH HACKETT JR.


Address: 1489 Baltimore Pike Ste 200, Springfield, PA 19064-3958
Phone: 6106049510

MR. KENRICK WADSWORTH HACKETT JR. (NPI# 1922254945) 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) 1922254945
Entity Type Individual
Full Name MR. KENRICK WADSWORTH HACKETT JR.
Credential LCSW
Practice Address 1489 Baltimore Pike Ste 200
Springfield
PA 19064-3958
Mailing Address 5971 Drexel Rd
Philadelphia
PA 19131-1215
Practice Telephone 6106049510
Mailing Telephone 2158778598
Enumeration Date 2008-08-10
Last Update Date 2008-08-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
CW015978 PA Behavioral Health & Social Service Providers

Office Location

Street Address 1489 BALTIMORE PIKE STE 200
City SPRINGFIELD
State PA
Zip Code 19064-3958

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972780542 Sharon Ann Meehan Social Worker 1489 Baltimore Pike Ste 200, Springfield, PA 19064-3958 2008-01-26
1083912596 Laura Welsh Counselor 1489 Baltimore Pike Ste 200, Suite 250, Springfield, PA 19064-3958 2011-03-08
1578883179 Alex W Gross Social Worker 1489 Baltimore Pike Ste 200, Suite 250, Springfield, PA 19064-3958 2010-06-04
1144550666 Margo Hoerdemann Jadico Social Worker 1489 Baltimore Pike Ste 200, Suite 250, Springfield, PA 19064-3958 2010-01-05
1477796597 Nancy Mccelvey Lydick Marriage & Family Therapist 1489 Baltimore Pike Ste 200, Springfield, PA 19064-3958 2009-04-20
1801032438 Kimberly Ann Parra Counselor 1489 Baltimore Pike Ste 200, Suite 250, Springfield, PA 19064-3958 2009-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023513058 Prospect Crozer Home Health and Hospice, LLC Hospice Care, Community Based 200 W. Sroul Road, Springfield, PA 19064 2018-03-30
1912369539 Olga Burt Physical Therapy Assistant 146 Rose Lane, Springfield, PA 19064 2016-03-23
1124407309 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1745 S. Sproul Rd, Springfield, PA 19064 2015-05-21
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1427483742 Casseys Optical Inc Durable Medical Equipment & Medical Supplies 139 S State Road, Springfield, PA 19064 2013-09-05
1184982225 Ultimate Hearing Solutions II, LLC Audiologist-Hearing Aid Fitter 471 Baltimore Pike, Springfield, PA 19064 2012-04-26
1295091684 Theresa Nolan Registered Nurse 194 West Sprould Road, Suite 105, Springfield, PA 19064 2012-04-10
1649551367 Pa Center for Hearing and Balance, LLC Hearing Aid Equipment 760 W Sproul Road, Suite 103, Springfield, PA 19064 2011-09-08
1376864694 Cynthia Lacapra Family Medicine 965 Baltimore Pike Ste B2, Springfield, PA 19064 2010-06-22
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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
1629676929 Katrina Louise Routh Social Worker 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 2020-10-09
1194337022 Loretta E. Buckwalter Social Worker 4401 Ridgewood Rd W, Springfield, OH 45503-6131 2020-08-21
1710596572 Nichol Speciale Social Worker 3700 Kerry Blvd, Springfield, IL 62712-5858 2020-07-28
1124636162 Sarah Ann Duffy Social Worker 6823 Floyd Ave, Springfield, VA 22150-2455 2020-07-15
1033736707 Bernetta A Andrewin Social Worker 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 2020-06-29
1013530856 Christina Margaret White Social Worker 224 Springcreek Dr, Springfield, IL 62702-3469 2020-05-27
1295357192 Luminary Counseling and Solutions, LLC Social Worker 319 E Madison St Ste 2c, Springfield, IL 62701-3120 2020-05-13
1861014326 Marvin Merriweather Jr. Social Worker 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 2020-05-07
1477182061 Sean Edward Snyder Social Worker 578 Sheffield Dr, Springfield, PA 19064-2822 2020-04-06
1801429246 David Aichroth Jr. Social Worker David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 2020-02-13
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Competitor

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City SPRINGFIELD
Zip Code 19064

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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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