Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Philadelphia Dynamic Therapy LLC

Organization Clinical Social Worker · NPI 1356934921

Philadelphia Dynamic Therapy LLC provides Clinical Social Worker services in Philadelphia, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1518 Walnut St Ste 1604
Philadelphia, PA 19102-3409
Phone: (203) 747-1058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1356934921
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emma Hazanov — President · (203) 747-1058
NPI enumeratedFebruary 15, 2021
Last updated in NPPESFebruary 15, 2021
Certification dateFebruary 15, 2021
Mailing address1518 Walnut St Ste 1604, Philadelphia, PA 19102-3409

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