Douglas C Achtert, MSS, LSW
Social Worker, Clinical in Media, PA. Individual provider (NPI-1).
NPI number1710248091
StatusActive
Last updated in NPPESNov 2, 2024
Details
- NPI
- 1710248091
- Entity type
- Individual (NPI-1)
- Name
- Mr. Douglas C Achtert
- Credential
- MSS, LSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2012
- Certification date
- Nov 2, 2024
- Last updated
- Nov 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CW017941 | PA | Yes |
| 104100000X | Social Worker | SW128747 | PA | |
| 104100000X | Social Worker | CW017941 | PA |
Practice location
1055 E Baltimore Pike Ste 303Media, PA 19063-5173
Phone 610-892-3800
Mailing address
2603 Cecil B Moore AvePhiladelphia, PA 19121-2826
Phone 215-769-7045 · Fax 215-769-7046
Other practice locations
2603 Cecil B Moore Ave
Philadelphia, PA 19121-2826
Philadelphia, PA 19121-2826
Phone 215-769-7045 · Fax 215-769-7046
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