Individual provider Active NPI

Vivek K Katara, LCSW

  • Clinical Social Worker
  • Whitehall, PA
National Provider Identifier
1124324819
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021023 Issued in PA
Practice address
881 3Rd St Ste B5
Whitehall, PA 18052-5929
Phone
(610) 776-9440
Fax
(610) 776-9444
NPI assigned
Jan 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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 CW021023 PA Primary

Addresses

Primary practice location

881 3Rd St Ste B5
Whitehall, PA 18052-5929

Mailing address

881 3Rd St Ste B5
Whitehall, PA 18052-5929
Phone (610) 776-9440

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201026003176 PA Practitioner - Clinical Social Worker 9931529294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Counseling and Children'S Services, LLCGroup PAC ID 8022438381, 3 clinicians

Practice addresses (Care Compare)

2000 Eberhart Rd
Whitehall, PA 18052-3645
Phone (610) 776-9440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW021023PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Care Counseling & Children'S Services LLC Mental Health CurrentSince Sep 18, 2020 Accepting new patients
Katara Health Current Accepting new patients
Lehigh Valley Community Mental Health Center, Inc Past Accepting new patients

Locations

881 3rd St
Ste B5
Whitehall, PA 18052
Phone (610) 776-9440

2000 Eberhart Rd
Whitehall, PA 18052
Phone (610) 776-9440

Organizations & group practices 3

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": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1124324819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 3RD ST STE B5",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525929",
            "telephone_number": "610-776-9440",
            "fax_number": "610-776-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 3RD ST STE B5",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525929",
            "telephone_number": "610-776-9440",
            "fax_number": "610-776-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATARA",
        "first_name": "VIVEK",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-28",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

Verify at the official NPI Registry.