MODERN RELATIONSHIPS LLC
NPI 1215710652
Social Worker - Clinical in Philadelphia, PA

Active since August 18, 2023
245 S 16TH ST, PHILADELPHIA, PA 19102(401) 575-0177 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modern Relationships Llc NPPES

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

MODERN RELATIONSHIPS LLC (NPI 1215710652) is a healthcare organization registered as a clinical in Philadelphia, Pennsylvania and active in the NPI registry since August 2023. The organization lists Kimberly Jackson, Owner/ Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1215710652
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMODERN RELATIONSHIPS LLC
Location Address245 S 16TH STPhiladelphia, PA 19102-3332
Mailing Address1500 Chestnut St, Suite 2 #1497Philadelphia, PA 19102-2700
Organization SubpartNo
Authorized OfficialKimberly JacksonOwner/ Clinical Director · (401) 575-0177
Enumeration DateAugust 18, 2023
NPPES CertifiedAugust 18, 2023
NPI 1215710652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
245 S 16TH ST, Philadelphia, PA 19102

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
245 S 16TH ST
PHILADELPHIA, PA 19102
Durable Medical Equipment & Medical Supplies
245 S 16TH ST
PHILADELPHIA, PA 19102
Counselor (Professional)
245 S 16TH ST
PHILADELPHIA, PA 19102
Counselor (Mental Health)
245 S 16TH ST
PHILADELPHIA, PA 19102

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 Modern Relationships LLC's NPI number?

The NPI number for Modern Relationships LLC is 1215710652. It was assigned to this organization in the NPPES registry on August 18, 2023.

Where is Modern Relationships LLC located?

Modern Relationships LLC is located at 245 S 16th St, Philadelphia, PA 19102. The listed phone number is (401) 575-0177.

What is Modern Relationships LLC'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 Modern Relationships LLC was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.