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

Modern Relationships LLC

Organization Clinical Social Worker · NPI 1215710652

Modern Relationships LLC is a Clinical Social Worker in Philadelphia, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
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

245 S 16th St
Philadelphia, PA 19102-3332
Phone: (401) 575-0177
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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 number1215710652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Jackson — Owner/ Clinical Director · (401) 575-0177
NPI enumeratedAugust 18, 2023
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address1500 Chestnut St, Suite 2 #1497, Philadelphia, PA 19102-2700

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