Organization Active NPI

Jewish Family Service of the Lehigh Valley

  • Clinical Social Worker
  • Allentown, PA
National Provider Identifier
1003931296
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012197 Issued in PA
Legal business name
JEWISH FAMILY SERVICE OF THE LEHIGH VALLEY
Practice address
2004 W Allen St
Allentown, PA 18104-5007
Phone
(610) 821-8722
NPI assigned
Mar 20, 2007
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Mrs. Phyllis Kaufman
Title
Clinical Billing Coordinator
Phone
(610) 821-8722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X CW012197 PA Primary

Addresses

Primary practice location

2004 W Allen St
Allentown, PA 18104-5007

Mailing address

2004 W Allen St
Allentown, PA 18104-5007
Phone (610) 821-8722

Other identifiers 2

IdentifierTypeStateIssuer
SI7454508OtherPAHIGHMARK BS
001661668OtherPAMAGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000476 PA Part B Supplier - Clinic/Group Practice 6103803853 Receives reassigned benefits from 2 practitioners
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

2004 W Allen St
Allentown, PA 18104
Phone (610) 435-0956

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1003931296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 W ALLEN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045007",
            "telephone_number": "610-821-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 W ALLEN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045007",
            "telephone_number": "610-821-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICE OF THE LEHIGH VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "CLINICAL BILLING COORDINATOR",
        "authorized_official_telephone_number": "610-821-8722",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "SI7454508",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "001661668",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.