Provider Demographics
NPI:1720843584
Name:WADDEN, STEVEN Z (LCSW)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:Z
Last Name:WADDEN
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 1:255 S 17TH ST STE 1307
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-6213
Mailing Address - Country:US
Mailing Address - Phone:215-282-3004
Mailing Address - Fax:215-282-8597
Practice Address - Street 1:230 S BROAD ST STE 600
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-4107
Practice Address - Country:US
Practice Address - Phone:215-282-3004
Practice Address - Fax:215-282-8597
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0243601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical