Provider Demographics
NPI:1245364637
Name:LORBER, JASON SCOTT (LCSW)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:SCOTT
Last Name:LORBER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 GREEN ST
Mailing Address - Street 2:APT. E
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-3967
Mailing Address - Country:US
Mailing Address - Phone:267-496-2395
Mailing Address - Fax:
Practice Address - Street 1:3000 LINCOLN DR E STE E
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1500
Practice Address - Country:US
Practice Address - Phone:215-823-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0154361041C0700X
DEQ1-00008721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical