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

Individual provider Professional Counselor · NPI 1588627038

Mary Beth Boulden, LCSW, LPC is a Professional Counselor in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
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.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5501 Old York Rd Moss 1 Ofc 139
Philadelphia, PA 19141-3018
Phone: (215) 456-9884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence SW124663 (PA)
Professional Counselor Taxonomy 101YP2500X · Licence PC000160 (PA)

Record details

NPI number1588627038
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LPC
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESOctober 3, 2007

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