Active NPI
Dennis George Widdersheim, LCSW
- Social Worker
- Bethlehem, PA
National Provider Identifier
1023071693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CW000171L
- Practice address
- Solutions Counseling
35 East Elizabeth Ave. Suite 37
Bethlehem, PA 18018 - Phone
- (610) 865-1303
- Fax
- (610) 865-9632
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CW000171L | PA | Primary |
Addresses
Primary practice location
Solutions Counseling
35 East Elizabeth Ave. Suite 37
Bethlehem, PA 18018
Mailing address
1833 5TH St
Bethlehem, PA 18020-5729
Phone (610) 868-1387
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW000171L | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1023071693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1833 5TH ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180205729",
"telephone_number": "610-868-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOLUTIONS COUNSELING",
"address_2": "35 EAST ELIZABETH AVE. SUITE 37",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18018",
"telephone_number": "610-865-1303",
"fax_number": "610-865-9632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDDERSHEIM",
"first_name": "DENNIS",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "CW000171L",
"primary": true
}
],
"identifiers": [],
"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 Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.