Provider Demographics
NPI:1689183071
Name:WARRINGTON, LUCY (LMSW)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:WARRINGTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 MARKET STREET
Mailing Address - Street 2:MEZZANINE LEVEL
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3317
Mailing Address - Country:US
Mailing Address - Phone:215-764-4100
Mailing Address - Fax:215-746-4116
Practice Address - Street 1:3535 MARKET STREET
Practice Address - Street 2:MEZZANINE LEVEL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3317
Practice Address - Country:US
Practice Address - Phone:215-764-4100
Practice Address - Fax:215-746-4116
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0212571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY002-44-871Medicaid