CHILDREN'S CRISIS TREATMENT CENTER
NPI 1821292053
Social Worker - Clinical in Philadelphia, PA

Active since June 12, 2007
1823 CALLOWHILL ST, PHILADELPHIA, PA 19130(212) 496-0707(215) 496-0742 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Children's Crisis Treatment Center NPPES

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

CHILDREN'S CRISIS TREATMENT CENTER (NPI 1821292053) is a healthcare organization registered as a clinical in Philadelphia, Pennsylvania and active in the NPI registry since June 2007. The organization lists Andrea Ettingoff, Director Of Clinical & Qa, as its authorized official.

NPPES Registry Identity

NPI1821292053
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKIM MEREDITH
Location Address1823 CALLOWHILL STPhiladelphia, PA 19130-4109
Mailing Address1823 Callowhill StPhiladelphia, PA 19130-4109 · (212) 496-0707 · Fax (215) 496-0742
Fax(215) 496-0742
Organization SubpartNo
Authorized OfficialAndrea EttingoffDirector Of Clinical & Qa · (215) 496-9797
Enumeration DateJune 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1821292053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in PA · CW014399
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.
1823 CALLOWHILL ST, Philadelphia, PA 19130

Other Names 1

Other NameChildren's Crisis Treatment Center

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
1823 CALLOWHILL ST
PHILADELPHIA, PA 19130
Psychologist (Clinical Child & Adolescent)
1823 CALLOWHILL ST
PHILADELPHIA, PA 19130

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 Kim Meredith's NPI number?

The NPI number for Kim Meredith is 1821292053. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is also known as Children's Crisis Treatment Center.

Where is Kim Meredith located?

Kim Meredith is located at 1823 Callowhill St, Philadelphia, PA 19130. The listed phone number is (212) 496-0707.

What is Kim Meredith'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 Kim Meredith was last updated on August 22, 2020. 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.