Individual provider Active NPI

Katarina Kostic, LSW

  • Social Worker
  • Bethlehem, PA
National Provider Identifier
1033938329
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW141694 Issued in PA
Practice address
2005 City Line Rd Ste 300
Bethlehem, PA 18017-7701
Phone
(610) 865-8177
NPI assigned
Oct 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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 SW141694 PA Primary

Addresses

Primary practice location

2005 City Line Rd Ste 300
Bethlehem, PA 18017-7701

Mailing address

25 W Elizabeth LN
Richboro, PA 18954-1014
Phone (267) 574-2690

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
SW141694PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Woodling Corporation CurrentSince Oct 6, 2024 Accepting new patients
Quaker State Medical Services Co Inc PastSince Oct 6, 2024 Accepting new patients

Locations

2005 City Line Rd
Ste 300
Bethlehem, PA 18017
Phone (610) 865-8177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1033938329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W ELIZABETH LN",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541014",
            "telephone_number": "267-574-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CITY LINE RD STE 300",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177701",
            "telephone_number": "610-865-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTIC",
        "first_name": "KATARINA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW141694",
            "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 4, 2024; 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.