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

Justin Talbot, LCSW

Individual provider Social Worker · NPI 1073135000

Justin Talbot, LCSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Pennsylvania and Texas.

Years since qualifying
5
Licensed in
PA, TX
In the registry since
2020
Specialties on file
2
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

500 N 13th St
Philadelphia, PA 19123-3955
Phone: (267) 636-6008
Fax: (267) 805-8505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9800 Hillwood Pkwy Ste 140, Fort Worth, TX 76177-1532 — (248) 436-4400

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW026003 (PA)
Social Worker Taxonomy 104100000X · Licence 106866 (TX)

Record details

NPI number1073135000
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 13, 2020
Last updated in NPPESMay 31, 2026
Certification dateMay 31, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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