Individual
JUDITH ALICE KNOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1211 CHESTNUT ST STE 605, PHILADELPHIA, PA 19107-4117
(215) 525-8657
(215) 988-9062
Mailing address
1233 LOCUST ST 3RD FL, PHILADELPHIA, PA 19107-5400
(215) 985-4448
(215) 985-4952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012782
PA
1041C0700X
Clinical Social Worker
LCSW-12586
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035172530001
—
PA
Enumeration date
11/13/2006
Last updated
10/20/2020
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