Individual provider Active NPI

Pamela Marie Sutliff, MSW

  • Social Worker
  • Bethlehem, PA
National Provider Identifier
1114446580
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW133963 Issued in PA
Practice address
865 E 4TH St
Bethlehem, PA 18015-1935
Phone
(610) 691-4357
Fax
(610) 691-2517
NPI assigned
Sep 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 SW133963 PA Primary

Addresses

Primary practice location

865 E 4TH St
Bethlehem, PA 18015-1935

Mailing address

530 N 7TH St
Allentown, PA 18102-2802
Phone (484) 223-4400

Other practice location 1

530 N 7th St
Allentown, PA 18102-2802
Phone (484) 223-4400

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW133963PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alexann Calabash Masiko-Meyer Summer Sessions Counseling PastSince Sep 22, 2024 Accepting new patients
Lehigh Valley Community Mental Health Center, Inc 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": "1505520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114446580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N 7TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181022802",
            "telephone_number": "484-223-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 E 4TH ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151935",
            "telephone_number": "610-691-4357",
            "fax_number": "610-691-2517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181022802",
            "country_code": "US",
            "telephone_number": "484-223-4400",
            "fax_number": "484-223-4548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTLIFF",
        "first_name": "PAMELA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW133963",
            "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 Mar 17, 2018; 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.