1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Social Worker
  6. NPI Profile

JOHN F. KENNEDY COMMUNITY MH/MR CENTER
NPI 1619088788
Social Worker - Clinical in Philadelphia, PA

Active since August 31, 2006
112 N BROAD ST, PHILADELPHIA, PA 19102(215) 568-0860(215) 568-0769 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About John F. Kennedy Community Mh/mr Center NPPES

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

JOHN F. KENNEDY COMMUNITY MH/MR CENTER (NPI 1619088788) is a healthcare organization registered as a clinical in Philadelphia, Pennsylvania and active in the NPI registry since August 2006. The organization lists Fari Thompson, Director, as its authorized official.

NPPES Registry Identity

NPI1619088788
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJOHN F. KENNEDY COMMUNITY MH/MR CENTER
Location Address112 N BROAD STPhiladelphia, PA 19102-1510
Mailing Address112 N Broad StPhiladelphia, PA 19102-1510 · (215) 568-0860 · Fax (215) 568-0769
Phone(215) 568-0860
Fax(215) 568-0769
Organization SubpartNo
Authorized OfficialFari ThompsonDirector · (215) 568-0860
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1619088788 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.
112 N BROAD ST, Philadelphia, PA 19102
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

CHRISTY LEHMAN
Counselor (Addiction (Substance Use Disorder))
112 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
RICHARD A. BETHKE
Case Manager/Care Coordinator
112 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
MS. TAMMIE DENISE HARLEY M.S. SPECIAL ED
Counselor
112 N BROAD ST
PHILA, PA 19102
Philadelphia County (215) 568-0860
JOHAN A GONZALEZ B.A.
Counselor
112 N BROAD ST
PHILA, PA 19102
Philadelphia County (215) 568-0860
MR. MARCUS B MATADI A.A.
Counselor
112 N BROAD ST, RM 821
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
AMANDA GIGANTE
Counselor (Mental Health)
112 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
MR. KYLE C PRINGLE B.S.
Counselor
112 N BROAD ST
PHILA, PA 19102
Philadelphia County (215) 568-0860
LESLIE BETH BECKER LCSW
Social Worker (Clinical)
112 N BROAD ST, RM 821
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860

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 John F. Kennedy Community Mh/Mr Center's NPI number?

The NPI number for John F. Kennedy Community Mh/Mr Center is 1619088788. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is John F. Kennedy Community Mh/Mr Center located?

John F. Kennedy Community Mh/Mr Center is located at 112 N Broad St, Philadelphia, PA 19102. The listed phone number is (215) 568-0860.

What is John F. Kennedy Community Mh/Mr Center'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 John F. Kennedy Community Mh/Mr Center was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.