DJUAN DESHONGE SHORT LCSW
NPI 1013536556
Social Worker - Clinical in Philadelphia, PA

Active since April 14, 2020
104 S 20TH ST STE V30, PHILADELPHIA, PA 19103(267) 225-2630 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2025, Apr 14, 2020 (2 updates tracked since 2020).

About Djuan Deshonge Short Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DJUAN DESHONGE SHORT LCSW (NPI 1013536556) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW020719) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1013536556
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDJUAN DESHONGE SHORTCredential: LCSW
Location Address104 S 20TH ST STE V30Philadelphia, PA 19103-4410
Mailing Address104 S 20th St Ste V30Philadelphia, PA 19103-4410 · (267) 225-2630
Sole ProprietorYes
Enumeration DateApril 14, 2020
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
NPI 1013536556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in PA · CW020719 Licensed in NJ · 44SC06129200
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
104 S 20TH ST STE V30, Philadelphia, PA 19103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Djuan Short's NPI number?

The NPI number for Djuan Short is 1013536556. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Djuan Short located?

Djuan Short practices at 104 S 20th St Ste V30, Philadelphia, PA 19103. The listed phone number is (267) 225-2630.

What is Djuan Short's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Djuan Short was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.