Provider Demographics
NPI:1710734348
Name:WOJENSKI, AMELIA CARROLL (LSW)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:CARROLL
Last Name:WOJENSKI
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 SPRUCE ST APT A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5894
Mailing Address - Country:US
Mailing Address - Phone:856-857-5342
Mailing Address - Fax:
Practice Address - Street 1:525 S 4TH ST STE 598
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-1581
Practice Address - Country:US
Practice Address - Phone:267-585-2980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-01
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW139250104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker