Provider Demographics
NPI:1982491460
Name:PIPKIN, AJA J
Entity type:Individual
Prefix:
First Name:AJA
Middle Name:J
Last Name:PIPKIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5617 UPLAND WAY
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-3109
Mailing Address - Country:US
Mailing Address - Phone:267-978-6521
Mailing Address - Fax:
Practice Address - Street 1:5617 UPLAND WAY
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-3109
Practice Address - Country:US
Practice Address - Phone:267-978-6521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker