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: July 19, 2026.

  • Individual
  • Female
  • Social Worker

About NISSA GUSTAFSON

This page provides the complete NPI Profile along with additional information for Nissa Gustafson, a provider established in Philadelphia, Pennsylvania with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1508759382 assigned on May 2025. The practitioner's primary taxonomy code is 104100000X with license number SW141961 (PA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1508759382 Verify this NPI
Provider Name
NISSA SAGE GUSTAFSON LSW
Gender
Female
Entity Type
Individual
Location Address
112 E ALLEN ST UNIT 3 PHILADELPHIA, PA 19125
Location Phone
(215) 278-9444
Mailing Address
1107 LINN ST PHILADELPHIA, PA 19147
Mailing Phone
(845) 750-2351
Is Sole Proprietor?
No
Enumeration Date
05-31-2025
Last Update Date
05-31-2025
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A social worker like Nissa Gustafson helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
SW141961
License State
PA
Taxonomy Description
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.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker (Clinical)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Counselor (Professional)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Marriage & Family Therapist
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Clinic/Center (Adult Mental Health)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Counselor (Mental Health)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Counselor (Professional)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker (Clinical)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker (Clinical)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker (Clinical)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker (Clinical)
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125
Social Worker
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508759382, enumerated as an "individual" on May 31, 2025.

The provider is located at 112 E ALLEN ST UNIT 3 PHILADELPHIA, PA 19125 and the phone number is (215) 278-9444.

Social Worker with taxonomy code 104100000X.