Bernard Mungin, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW125501 Issued in PA

Practice address

3295 Forest Inn Road, Suite 3
Palmerton, PA 18103-5300

Phone

(610) 826-8482

Fax

(610) 826-8483

NPI assigned

Aug 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A New Dawn Psychotherapy Associates LLC

  • Clinical Social Worker
  • Bethlehem, PA
  • NPI 1851895163
  NPD (past)
• Kathleen Coughlin

  • Social Worker
  • Bethlehem, PA
  • NPI 1558576983
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1104010271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 FOREST INN ROAD, SUITE 3",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "181035300",
            "telephone_number": "610-826-8482",
            "fax_number": "610-826-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 FOREST INN ROAD, SUITE 3",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "181035300",
            "telephone_number": "610-826-8482",
            "fax_number": "610-826-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGIN",
        "first_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3295 Forest Inn Road, Suite 3",
            "city": "Palmerton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181035300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacey Lynn Mihalko, D.C.
• Nicole Mitchell, LSW
• Rebecca Moore
• Haley J Moskella, LCSW
• Mountain View Optometry, P.C.
• Brooke Erin Neff, LPC
• Justina M Neff, RD
• Neurology and Sleep Consultants, LLC
• North Star Mental Health LLC
• Ralph A. Odierno, PAC

• Social Worker in Palmerton, PA
• Providers in Palmerton, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.