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

Eileen B Addis, LCSW

Individual provider Clinical Social Worker · NPI 1336657709

Eileen B Addis, LCSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4100 Main St Ste 403
Philadelphia, PA 19127-1623
Phone: (215) 487-3000
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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 · Licence CW018387 (PA)

Record details

NPI number1336657709
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 18, 2018
Last updated in NPPESJuly 5, 2024
Certification dateJune 28, 2021
Mailing address670 Mallard Rd, Wayne, PA 19087-2344

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