NPI 1710248091 · live from the CMS NPI Registry
Douglas C Achtert, MSS, LSW
Social Worker, Clinical in Media, PA. National Provider Identifier 1710248091, active.
NPI record
| NPI | 1710248091 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1055 E Baltimore Pike Ste 303, Media, PA 19063 |
| Practice phone | 610-892-3800 |
| Mailing address | 2603 Cecil B Moore Ave, Philadelphia, PA 19121 |
| Enumerated | June 4, 2012 |
| Last updated | November 2, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | SW128747 (PA) |
| Social Worker | 104100000X | CW017941 (PA) |
| Social Worker, Clinical primary | 1041C0700X | CW017941 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.