Provider Demographics
NPI:1588825558
Name:JAFFE, ELLIN F (MSW)
Entity Type:Individual
Prefix:
First Name:ELLIN
Middle Name:F
Last Name:JAFFE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 STENTON AVE
Mailing Address - Street 2:1F
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-3231
Mailing Address - Country:US
Mailing Address - Phone:215-247-5400
Mailing Address - Fax:215-247-5175
Practice Address - Street 1:7600 STENTON AVE
Practice Address - Street 2:1F
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-3231
Practice Address - Country:US
Practice Address - Phone:215-247-5400
Practice Address - Fax:215-247-5175
Is Sole Proprietor?:No
Enumeration Date:2008-06-22
Last Update Date:2008-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0156971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical