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NISSA SAGE GUSTAFSON LSW
NPI 1508759382
Social Worker in Philadelphia, PA

Active since May 31, 2025
112 E ALLEN ST UNIT 3, PHILADELPHIA, PA 19125(215) 278-9444 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nissa Sage Gustafson Lsw NPPES

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

NISSA SAGE GUSTAFSON LSW (NPI 1508759382) is an individual social worker in Philadelphia, Pennsylvania, licensed in Pennsylvania (SW141961) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1508759382
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameNISSA SAGE GUSTAFSONCredential: LSW
Location Address112 E ALLEN ST UNIT 3Philadelphia, PA 19125-4189
Mailing Address1107 Linn StPhiladelphia, PA 19147-6307 · (845) 750-2351
Phone(215) 278-9444
Sole ProprietorNo
Enumeration DateMay 31, 2025
NPPES CertifiedMay 31, 2025
✔ NPI 1508759382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in PA · SW141961
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
112 E ALLEN ST UNIT 3, Philadelphia, PA 19125
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Other Providers at the Same Location NPPES 20

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

NICOLE COLON MALDONADO MS
Counselor (Mental Health)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Philadelphia County (267) 223-4336
STEPHEN CHAO MSW, LSW
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Philadelphia County (215) 278-9444
SARAH ANOZIER
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Philadelphia County (215) 278-9444
PEREZ THERAPY, LLC
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Philadelphia County (215) 278-9444
PEREZ THERAPY, LLC
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Philadelphia County (215) 278-9444
SARAH NEELY BIREN LSW, MSW, MED
Social Worker (Clinical)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Philadelphia County (215) 278-9444
PEREZ THERAPY, LLC
Counselor (Professional)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Philadelphia County (215) 278-9444
ROBERT MEJIA JR. MSW, LSW
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Philadelphia County (215) 278-9444

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 Nissa Gustafson's NPI number?

The NPI number for Nissa Gustafson is 1508759382. It was assigned to this individual provider in the NPPES registry on May 31, 2025.

Where is Nissa Gustafson located?

Nissa Gustafson practices at 112 E Allen St Unit 3, Philadelphia, PA 19125. The listed phone number is (215) 278-9444.

What is Nissa Gustafson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Nissa Gustafson was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.