Provider Demographics
NPI:1235424300
Name:SINGER COLEMAN, ELLEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:
Last Name:SINGER COLEMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 WALNUT ST
Mailing Address - Street 2:SUITE 1108
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-5313
Mailing Address - Country:US
Mailing Address - Phone:215-990-6997
Mailing Address - Fax:215-399-9129
Practice Address - Street 1:1616 WALNUT ST
Practice Address - Street 2:SUITE 1108
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-5313
Practice Address - Country:US
Practice Address - Phone:215-990-6997
Practice Address - Fax:215-399-9129
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0162021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical