Individual provider Active NPI

Quynh Mong Hicks, LCSW

  • Clinical Social Worker
  • Bethlehem, PA
National Provider Identifier
1134011828
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026046 Issued in PA
Practice address
2830 Easton Ave
Bethlehem, PA 18017-4204
Phone
(484) 822-7827
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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 CW026046 PA Primary

Addresses

Primary practice location

2830 Easton Ave
Bethlehem, PA 18017-4204

Mailing address

5870 Miller Rd
New Tripoli, PA 18066-2300
Phone (484) 274-1476

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
I20250904003822 PA Practitioner - Clinical Social Worker 5395266860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

801 Ostrm St
Bethlehem, PA 18015-1000

801 Ostrum St
Bethlehem, PA 18015-1065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW026046PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc Current Accepting new patients
Star Community Health, Inc CurrentSince May 1, 2025 Accepting new patients

Locations

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

2830 Easton Ave
Bethlehem, PA 18017
Phone (484) 526-3555

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Star Community Health IncAllentown, PA, CCN 391157 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jul 1, 2025
Jul 1, 2025
Star Community Health IncAllentown, PA, CCN 391172 Federally qualified health center Corporate Director
W-2 Managing Employee
May 1, 2025
May 1, 2025
Star Community Health Family PracticeBethlehem, PA, CCN 391171 Federally qualified health center Corporate Director
W-2 Managing Employee
Jan 1, 2025
Jan 1, 2025
Star Community Health IncAllentown, PA, CCN 391169 Federally qualified health center Corporate Director
W-2 Managing Employee
Jul 1, 2025
Jul 1, 2025
Star Community Health IncBethlehem, PA, CCN 391161 Federally qualified health center Corporate Director
W-2 Managing Employee
May 1, 2025
May 1, 2025
Star Community Health IncEaston, PA, CCN 391160 Federally qualified health center Corporate Director
W-2 Managing Employee
May 1, 2025
May 1, 2025
Star Community Health IncAllentown, PA, CCN 391163 Federally qualified health center Corporate Director
W-2 Managing Employee
May 1, 2025
May 1, 2025
Star Community Health IncEaston, PA, CCN 391165 Federally qualified health center Corporate Director
W-2 Managing Employee
May 1, 2025
May 1, 2025
Star Community Health IncBethlehem, PA, CCN 391168 Federally qualified health center Corporate Director
W-2 Managing Employee
Jan 1, 2026
Jan 1, 2026
Star Community Health IncBethlehem, PA, CCN 731969 Federally qualified health center Corporate Director
W-2 Managing Employee
Jan 1, 2026
Jan 1, 2026
Star Community Health IncPhillipsburg, NJ, CCN 311010 Federally qualified health center Corporate Director
W-2 Managing Employee
May 1, 2025
May 1, 2025
Star Community Health IncRingtown, PA, CCN D31042 Federally qualified health center Corporate Director
W-2 Managing Employee
Jul 1, 2025
Jul 1, 2025
Star Community Health IncLansford, PA, CCN D31046 Federally qualified health center Corporate Director
W-2 Managing Employee
Aug 1, 2025
Aug 1, 2025
Star Community Health IncTamaqua, PA, CCN D31050 Federally qualified health center Corporate Officer
W-2 Managing Employee
Aug 1, 2025
Aug 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1134011828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 MILLER RD",
            "city": "NEW TRIPOLI",
            "state": "PA",
            "postal_code": "180662300",
            "telephone_number": "484-274-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174204",
            "telephone_number": "484-822-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "QUYNH",
        "middle_name": "MONG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.