SENIOR OUTREACH SUPPORT SERVICES PC NPI 1366576084

NPI Information

  • NPI: 1366576084
  • Provider Name: SENIOR OUTREACH SUPPORT SERVICES PC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 29 DECHERT ROAD
    CONSHOHCKEN, PA
    ZIP 19428
  • Phone: (610) 834-0346

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NPI Details

SENIOR OUTREACH SUPPORT SERVICES PC is a clinical social worker in Conshohcken, PA. The provider is 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. SENIOR OUTREACH SUPPORT SERVICES PC NPI is 1366576084. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29 DECHERT ROAD
CONSHOHCKEN, PA
ZIP 19428-114
Phone: (610) 834-0346
Fax: (610) 834-0346

The provider's authorized official is Joyce E Hanna .
The authorized official title is President Licensed Clinical Social and has the following contact phone number (610) 834-0346.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 1/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalCW013760PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1092875MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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