PAPA AMADOU SOW (NPI# 1407292725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407292725 |
| Entity Type | Individual |
| Full Name | PAPA AMADOU SOW |
| Practice Address |
2514 N Broad St Philadelphia PA 19132-4013 |
| Practice Telephone | 2155992862 |
| Mailing Telephone | 2155992862 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
PA | Ambulatory Health Care Facilities |
| Street Address |
2514 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19132-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790974921 | Angela J Cooper | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2007-10-24 |
| 1174132237 | Evelyn Mammen | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2020-07-24 |
| 1548879836 | Adam Joseph Rzepka | Social Worker | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2020-07-23 |
| 1487294146 | Michael Howard Lee Jr. | Social Worker | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2020-01-10 |
| 1720628415 | Beata Mariola Buzek | Marriage & Family Therapist | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2020-01-09 |
| 1598321218 | Ruth Degraffenreidt | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2019-05-17 |
| 1659833770 | Danielle Croom | Social Worker | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2019-04-06 |
| 1033604335 | Cynthia R Johnson-lewis | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2018-06-28 |
| 1962918250 | Henry Kyle Weaver | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2017-12-21 |
| 1194253914 | Anjalea Noble | Counselor | 2514 N Broad St, Adult Outpatient 5a, Philadelphia, PA 19132-4013 | 2017-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511017 | Irene Maria Clark | Social Worker | 3101 N. 29th St., Philadelphia, PA 19132 | 2020-06-03 |
| 1518407519 | Forget Me Knot Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 2321 N Broad Street, Philadelphia, PA 19132 | 2017-02-24 |
| 1609322437 | Shaakira Gillette | Social Worker | 2514 N. Broad St, Philadelphia, PA 19132 | 2016-08-31 |
| 1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
| 1972958544 | Rittenhouse Health LLC | Substance Abuse Rehabilitation Facility | 2321 N. Broad St, Philadelphia, PA 19132 | 2016-05-02 |
| 1336593458 | Jamal Vann | Counselor | 2233-43 West Allegheny Avenue, Philadelphia, PA 19132 | 2016-04-14 |
| 1487027132 | Jazzmin Devine | Specialist/Technologist | 200 Prospect St Hemlock 430a, East Stroudsburg University, PA 19132 | 2015-11-03 |
| 1609282508 | Lawrence Petitfrere | Pharmacist | 2801 W Dauphin St, Philadelphia, PA 19132 | 2014-07-11 |
| 1437565157 | Mental Health Partnerships | Community/Behavioral Health | 2709 N. Broad Street, Philadelphia, PA 19132 | 2014-07-02 |
| 1477977346 | Randy Morman | Counselor | 2514 N. Broad Street, 1st Floor, Philadelphia, PA 19132 | 2014-02-12 |
| Find all providers in zip 19132 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860350 | Aba for Winners Inc. | Clinic/Center | 954 Belmont Ave, Philadelphia, PA 19104-1261 | 2020-04-20 |
| 1962826149 | Citywide Community Counseling Services | Clinic/Center | 3125 Frankford Avenue, Philadelphia, PA 19134 | 2014-02-10 |
| 1841614054 | Citywide Community Counseling Services | Clinic/Center | 5241 Jackson St, Philadelphia, PA 19124 | 2014-02-07 |
| 1174708606 | St. Francis-st. Joseph Homes for Children | Clinic/Center | 157 W Carpenter Avenue, Philadelphia, PA 19117 | 2008-01-03 |
| 1639299167 | Tree of Life Professional Behavorial Health Services | Clinic/Center | 7048 Castor Ave, Philadelphia, PA 19149-1713 | 2007-03-29 |
| 1528186087 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 2501 S 63rd St, Thomas Morton Elementary School, Philadelphia, PA 19142-3101 | 2007-03-26 |
| 1316065949 | West Philadelphia Community Mh Consortium, Inc. | Clinic/Center | 4601 Market St, Suite 426, Philadelphia, PA 19139-4616 | 2007-03-26 |
| 1386761971 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 5700 Willows Ave, Philadelphia, PA 19143-4517 | 2007-03-26 |
| 1609993096 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 1200 W Allegheny Ave, Philadelphia, PA 19133-1307 | 2007-03-23 |
| 1699892935 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 4300 Westminster Ave, Philadelphia, PA 19104-1308 | 2007-03-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19132 |
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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.