Provider Demographics
NPI:1669677258
Name:SOCIAL WORK PRN
Entity Type:Organization
Organization Name:SOCIAL WORK PRN
Other - Org Name:SENIORCARE MATTERS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:PLOTKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:215-641-2311
Mailing Address - Street 1:7241 HOLLYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-1211
Mailing Address - Country:US
Mailing Address - Phone:215-641-2311
Mailing Address - Fax:
Practice Address - Street 1:7241 HOLLYWOOD RD
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-1211
Practice Address - Country:US
Practice Address - Phone:215-641-2311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty