IndividualActive
Antonia Jimenez-Trail
NPI 1396695284 · Clinical Social Worker · Phila, PA
Provider details
- NPI number
- 1396695284
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sole proprietor
- Yes
- License
- CW026749 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1123 Marlyn Rd
Phila, PA 19151-3124
Phone: (215) 240-2745
Approximate (ZIP-level) locationGet directions
Mailing address
1123 Marlyn Rd
Phila, PA 19151-3124
Registry dates
- Enumerated
- 2026-01-30
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.