Addis, Eileen B

Addis, Eileen B is an sole proprietor health care provider with primary practice located at 4100 Main St Ste 403 , Philadelphia PA 19127-1623. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Addis, Eileen B can be contacted via phone (215) 487-3000.

Contact Information

Primary practice address
4100 Main St Ste 403 Philadelphia PA 19127-1623
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW018387 Pennsylvania

Profile Details

NPI number 1336657709
LBN Legal business name Addis, Eileen B
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2018
Last updated Jul 5th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers