NPIMap

Individual provider Active NPI

Donna Heagele, LSW

  • Social Worker
  • Bethlehem, PA
National Provider Identifier
1073785887
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW013454L Issued in PA
Practice address
147 E Broad St
Bethlehem, PA 18018-6219
Phone
(610) 861-8779
Fax
(610) 861-4677
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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 SW013454L PA Primary

Addresses

Primary practice location

147 E Broad St
Bethlehem, PA 18018-6219

Mailing address

147 E Broad St
Bethlehem, PA 18018-6219
Phone (610) 861-8779

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

LicenseStateTypeSpecialty
SW013454LPAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Coughlin Social Worker Past Accepting new patients
A New Dawn Psychotherapy Associates LLC Social Worker Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1073785887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186219",
            "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": "147 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186219",
            "telephone_number": "610-861-8779",
            "fax_number": "610-861-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAGELE",
        "first_name": "DONNA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW013454L",
            "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 Apr 1, 2008; 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.