Individual provider Active NPI

Theodora Nikiforos Kiapokas, LCSW

  • Clinical Social Worker
  • Allentown, PA
National Provider Identifier
1093749236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014719 Issued in PA
Practice address
3110 Hamilton Blvd
Allentown, PA 18103-3630
Phone
(610) 776-4401
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014719 PA Primary

Addresses

Primary practice location

3110 Hamilton Blvd
Allentown, PA 18103-3630

Mailing address

1308 Main St
Bethlehem, PA 18018-2314
Phone (484) 895-0215

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093749236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 MAIN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182314",
            "telephone_number": "484-895-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 HAMILTON BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033630",
            "telephone_number": "610-776-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIAPOKAS",
        "first_name": "THEODORA",
        "middle_name": "NIKIFOROS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014719",
            "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 Jul 8, 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.

Verify at the official NPI Registry.