Active NPI
Mary Wertheimer, LCSW
- Clinical Social Worker
- Bangor, PA
National Provider Identifier
1093995227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW017105
- Practice address
- 51 Market St
Bangor, PA 18013-1901 - Phone
- (610) 588-9109
- NPI assigned
- Nov 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW017105 | PA | Primary |
Addresses
Primary practice location
51 Market St
Bangor, PA 18013-1901
Mailing address
51 Market St
Bangor, PA 18013-1901
Phone (610) 588-9109
Other practice location 1
1555 Northampton St
Easton, PA 18042-3160
Phone (610) 252-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
51 Market St
Bangor, PA 18013-1901
Phone (610) 588-9109
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW017105 | PA | MD | Clinical Social Worker |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bangor, PA
- NPI 1457386328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1093995227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 MARKET ST",
"city": "BANGOR",
"state": "PA",
"postal_code": "180131901",
"telephone_number": "610-588-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 MARKET ST",
"city": "BANGOR",
"state": "PA",
"postal_code": "180131901",
"telephone_number": "610-588-9109"
}
],
"practiceLocations": [
{
"address_1": "1555 Northampton St",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "PA",
"postal_code": "180423160",
"country_code": "US",
"telephone_number": "610-252-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WERTHEIMER",
"first_name": "MARY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW017105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.