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PHILADELPHIA DYNAMIC THERAPY LLC
NPI 1356934921
Social Worker - Clinical in Philadelphia, PA

Active since February 15, 2021
1518 WALNUT ST STE 1604, PHILADELPHIA, PA 19102(203) 747-1058 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Philadelphia Dynamic Therapy Llc NPPES

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

PHILADELPHIA DYNAMIC THERAPY LLC (NPI 1356934921) is a healthcare organization registered as a clinical in Philadelphia, Pennsylvania and active in the NPI registry since February 2021. The organization lists Emma Hazanov, President, as its authorized official.

NPPES Registry Identity

NPI1356934921
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePHILADELPHIA DYNAMIC THERAPY LLC
Location Address1518 WALNUT ST STE 1604Philadelphia, PA 19102-3409
Mailing Address1518 Walnut St Ste 1604Philadelphia, PA 19102-3409 · (203) 747-1058
Phone(203) 747-1058
Organization SubpartNo
Authorized OfficialEmma HazanovPresident · (203) 747-1058
Enumeration DateFebruary 15, 2021
NPPES CertifiedFebruary 15, 2021
✔ NPI 1356934921 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.
1518 WALNUT ST STE 1604, Philadelphia, PA 19102
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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

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 Philadelphia Dynamic Therapy LLC's NPI number?

The NPI number for Philadelphia Dynamic Therapy LLC is 1356934921. It was assigned to this organization in the NPPES registry on February 15, 2021.

Where is Philadelphia Dynamic Therapy LLC located?

Philadelphia Dynamic Therapy LLC is located at 1518 Walnut St Ste 1604, Philadelphia, PA 19102. The listed phone number is (203) 747-1058.

What is Philadelphia Dynamic Therapy 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 Philadelphia Dynamic Therapy LLC was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.