JACQUELINE RUSSAK-LOFTUS (NPI# 1407204407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407204407 |
| Entity Type | Individual |
| Full Name | JACQUELINE RUSSAK-LOFTUS |
| Practice Address |
727 Old Welsh Rd Huntington Valley PA 19006 |
| Mailing Address |
1142 Lindbergh Ave Feasterville Trevose PA 19053-4139 |
| Practice Telephone | 2159142119 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW016784 | PA | Behavioral Health & Social Service Providers |
| Street Address |
727 OLD WELSH RD |
| City | HUNTINGTON VALLEY |
| State | PA |
| Zip Code | 19006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349209 | Nicole Poncia Slp LLC | Speech-Language Pathologist | 2011 Williamsburg Rd., Huntingdon Valley, PA 19006 | 2020-06-04 |
| 1497248298 | Heavenly's Home Care LLC | In Home Supportive Care | 67 Buck Rd Ste B53, Huntingdon Valley, PA 19006 | 2018-06-07 |
| 1740721919 | Staton Health LLC | In Home Supportive Care | 111 Buck Rd, Unit 300, Suite 9, Huntingdon Valley, PA 19006 | 2017-03-20 |
| 1720490162 | Pennsylvania Home Care Assistance Agency, Inc | Case Management | 2600 Philmont Ave Ste 405, Huntingdon Valley, PA 19006 | 2014-05-20 |
| 1104255603 | Javad Mohsenian | Psychiatry & Neurology | 320 Moreland Road, Huntingdon Valley, PA 19006 | 2013-11-05 |
| 1013270123 | Donna Marie Salvucci | Psychologist | 521 Moredon Road, Holy Redeemer Counseling Clinic, Huntingdon Valley, PA 19006 | 2012-06-22 |
| 1962712125 | Dentex Dental Mobile, Inc | Dentist | 3035 Franks Rd, Huntingdon Valley, PA 19006 | 2010-10-20 |
| 1316255938 | Superior Ems Ambulance LLC | Ambulance | 85 C Tomlinson Road, Huntingdon Valley, PA 19006 | 2010-09-16 |
| 1194958777 | Leader Ambulance, Inc | Ambulance | 27 Tomlinson Road, Suite 203, Huntingdon Valley, PA 19006 | 2009-08-28 |
| 1295965580 | Mary Jude Teter Babiak | Pediatrics | 930 Henrietta Ave., Suite A, Huntingdon Valley, PA 19006 | 2009-07-21 |
| Find all providers in zip 19006 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619798 | Kealsey Brennan Beecham | Social Worker | 9071 Mill Creek Rd Apt 2411, Levittown, PA 19054-4233 | 2020-11-07 |
| 1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
| 1326649963 | Sarah Michelle Waxman | Social Worker | 2550 Grays Ferry Ave, Philadelphia, PA 19146-2331 | 2020-11-02 |
| 1992305478 | Christina Lynn Watson | Social Worker | 939 Bayridge Ave, Pittsburgh, PA 15226-2133 | 2020-10-26 |
| 1992304455 | Sarah B Matas | Social Worker | 434 Kennett Pike, Chadds Ford, PA 19317-9383 | 2020-10-25 |
| 1023617743 | Cody Forsythe | Social Worker | 147 N 5th St Ste 2, Reading, PA 19601-3494 | 2020-10-23 |
| 1467051540 | Maya Cox | Social Worker | 4045 Green St, Philadelphia, PA 19104-1759 | 2020-10-20 |
| 1790384147 | Julie Adelle Figueroa | Social Worker | 301 Washington St Apt 1313, Conshohocken, PA 19428-4010 | 2020-10-17 |
| 1265030712 | Samantha Barley | Social Worker | 16055 Perry Hwy Bldg 3, Wexford, PA 15090-6885 | 2020-10-15 |
| 1346848165 | Lianne Glaus Vighetti | Social Worker | 624 Deer Watch Rd, Bridgeville, PA 15017-1148 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON VALLEY |
| Zip Code | 19006 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.