NPI 1215416565 · live from the CMS NPI Registry
Nora Jessy Ahern, LCSW
Social Worker, Clinical in Philadelphia, PA. National Provider Identifier 1215416565, active.
NPI record
| NPI | 1215416565 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 4001 Main St, Philadelphia, PA 19127 |
| Practice phone | 917-660-5833 |
| Mailing address | 130 Monument Rd Apt 421, Bala Cynwyd, PA 19004 |
| Enumerated | August 8, 2018 |
| Last updated | August 15, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 131343 (NY) |
| Social Worker, Clinical | 1041C0700X | 092797 (NY) |
| Social Worker, Clinical primary | 1041C0700X | CW022757 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.