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

Phoenix Wood, LCSW

Individual provider Social Worker · NPI 1811300122

Phoenix Wood, LCSW is a Social Worker in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
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

525 S 4th St Ste 598
Philadelphia, PA 19147
Phone: (267) 603-4463
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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 CW019534 (PA)
Social Worker Taxonomy 104100000X · Licence 131460 (PA)

Record details

NPI number1811300122
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 4, 2014
Last updated in NPPESMay 30, 2018

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