Provider Demographics
NPI:1972339539
Name:SPANGLER, SONJA (LCSW)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:SPANGLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 ADAMS DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1128
Mailing Address - Country:US
Mailing Address - Phone:610-952-2725
Mailing Address - Fax:
Practice Address - Street 1:255 S 17TH ST STE 2501
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6206
Practice Address - Country:US
Practice Address - Phone:215-882-9785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0250491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical