Organization
KIM MEREDITH
Active
Organization
KIM MEREDITH
Active
Other names
Children's Crisis Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA ETTINGOFF (DIRECTOR OF CLINICAL & QA)
(215) 496-9797
Entity
Organization
Contact information
Practice address
1823 CALLOWHILL ST, PHILADELPHIA, PA 19130-4109
(212) 496-0707
(215) 496-0742
Mailing address
1823 CALLOWHILL ST, PHILADELPHIA, PA 19130-4109
(212) 496-0707
(215) 496-0742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014399
PA
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up