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

Lance Faegenburg, LCWS

Individual provider Clinical Social Worker · NPI 1750956892

Lance Faegenburg, LCWS is a Clinical Social Worker in Philadelphia, Pennsylvania. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021

Practice location Address checks out

3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone: (215) 823-5800
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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 8782 (TN)

Record details

NPI number1750956892
Entity typeIndividual (Type 1)
GenderMale
Credentials LCWS
Sole proprietorNo
NPI enumeratedMay 21, 2021
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

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