Active NPI
Nicholas Anthony Jupina, LCSW
- Clinical Social Worker
- Allentown, PA
National Provider Identifier
1093093502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW012580
- Practice address
- 1728 W Jonathan St
Suite 204
Allentown, PA 18104-3170 - Phone
- (610) 360-1462
- Fax
- (610) 821-2037
- NPI assigned
- Aug 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW012580 | PA | Primary |
Addresses
Primary practice location
1728 W Jonathan St
Suite 204
Allentown, PA 18104-3170
Mailing address
4328 Greenfield Rd
Bethlehem, PA 18017-9133
Phone (610) 867-5328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 15, 2025 through Feb 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW012580 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1093093502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4328 GREENFIELD RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180179133",
"telephone_number": "610-867-5328",
"fax_number": "610-821-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 W JONATHAN ST",
"address_2": "SUITE 204",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181043170",
"telephone_number": "610-360-1462",
"fax_number": "610-821-2037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUPINA",
"first_name": "NICHOLAS",
"middle_name": "ANTHONY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-01",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW012580",
"primary": true
}
],
"identifiers": [],
"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 Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.