Individual provider Active NPI

Isra Abuyounis, LSW

  • Social Worker
  • Bethlehem, PA
National Provider Identifier
1003446527
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW136464 Issued in PA
Practice address
308 E Broad St
Bethlehem, PA 18018-6311
Phone
(610) 861-8779
NPI assigned
Jan 23, 2020
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW136464 PA Primary

Addresses

Primary practice location

308 E Broad St
Bethlehem, PA 18018-6311

Mailing address

308 E Broad St
Bethlehem, PA 18018-6311
Phone (610) 861-8779

Other identifiers 1

IdentifierTypeStateIssuer
SW136464OtherPAPROFESSIONAL SOCIAL WORK LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW136464PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Coughlin Social Worker PastSince Jan 26, 2020 Accepting new patients
A New Dawn Psychotherapy Associates LLC Social Worker PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1003446527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186311",
            "telephone_number": "610-861-8779",
            "fax_number": "610-861-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186311",
            "telephone_number": "610-861-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUYOUNIS",
        "first_name": "ISRA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW136464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL SOCIAL WORK LICENSE",
            "identifier": "SW136464",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.