Provider Demographics
NPI:1659316461
Name:CATHOLIC SOCIAL SERVICES
Entity Type:Organization
Organization Name:CATHOLIC SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:AMATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-587-3754
Mailing Address - Street 1:222 N 17TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-1202
Mailing Address - Country:US
Mailing Address - Phone:215-587-3798
Mailing Address - Fax:215-587-2479
Practice Address - Street 1:100 LEVITTOWN PKWY
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19054-3502
Practice Address - Country:US
Practice Address - Phone:215-945-2550
Practice Address - Fax:215-945-3595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1041C0700X
251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2274222000OtherINDEPENDECE BC
PA4477063OtherAETNA
PA2274222000OtherINDEPENDECE BC