Provider Demographics
NPI:1942028576
Name:LEJFER, PAULINE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:PAULINE
Middle Name:
Last Name:LEJFER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:POLLY
Other - Middle Name:
Other - Last Name:LEJFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:1316 N FRONT ST # 4A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-4604
Mailing Address - Country:US
Mailing Address - Phone:617-733-7645
Mailing Address - Fax:
Practice Address - Street 1:1316 N FRONT ST # 4A
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-4604
Practice Address - Country:US
Practice Address - Phone:617-733-7645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0246441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical