Provider Demographics
NPI:1477587467
Name:ROHLFS, GLORIA D (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:D
Last Name:ROHLFS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 E SYDNEY ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1836
Mailing Address - Country:US
Mailing Address - Phone:215-248-6287
Mailing Address - Fax:215-248-6287
Practice Address - Street 1:100 W EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-3814
Practice Address - Country:US
Practice Address - Phone:215-248-6287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW008236L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical