| Elizabeth White Psychotherapy LLC | |
|
7715 Crittenden St # 314 Philadelphia PA 19118-4473 | |
| (267) 521-2192 | |
| Not Available |
| Full Name | Elizabeth White Psychotherapy LLC |
|---|---|
| Speciality | Social Worker |
| Location | 7715 Crittenden St # 314, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Elizabeth White (PSYCHOTHERAPIST / OWNER) |
| Authorized Official Contact | 2675212192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth White Psychotherapy LLC 7715 Crittenden St # 314 Philadelphia PA 19118-4473 | Elizabeth White Psychotherapy LLC 7715 Crittenden St # 314 Philadelphia PA 19118-4473 Ph: (267) 521-2192 |
| NPI Number | 1609740505 |
|---|---|
| Provider Enumeration Date | 10/02/2025 |
| Last Update Date | 10/02/2025 |
| Certification Date | 10/02/2025 |
| Medicare PECOS PAC ID | 8224515036 |
|---|---|
| Medicare Enrollment ID | O20260123000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609740505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Elizabeth White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295482214 PECOS PAC ID: 7810371549 Enrollment ID: I20220830002823 |
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