Individual provider Active NPI

Holly Ann Mullen, MSW, LSW

  • Clinical Social Worker
  • Breinigsville, PA
National Provider Identifier
1144617523
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019120 Issued in PA
Practice address
9636 Crescent LN # 2
Breinigsville, PA 18031-1830
Phone
(484) 866-7218
Fax
(484) 866-7218
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SW130601 PA
Clinical Social Worker 1041C0700X CW019120 PA Primary

Addresses

Primary practice location

9636 Crescent LN # 2
Breinigsville, PA 18031-1830

Mailing address

9636 Crescent Lane
2
Allentown, PA 18103
Phone (484) 866-7218

Other practice location 1

1240 S Cedar Crest Blvd Ste 410
Allentown, PA 18103-6218
Phone (610) 402-7884

Other names 1

  • Holly Delgrosso Former name

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
I20240318002661 PA Practitioner - Clinical Social Worker 8022455781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1240 S Cedar Crest Blvd
205 LVPG Surgical Oncology
Allentown, PA 18103-6218
Phone (610) 402-7884

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW130601PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jan 13, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 13, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 1, 2023 Accepting new patients

Locations

1240 S Cedar Crest Blvd
Ste 410
Allentown, PA 18103
Phone (610) 402-5200

1240 S Cedar Crest Blvd
Ste 205
Allentown, PA 18103
Phone (610) 402-7884

2100 Mack Blvd
Fl 4
Allentown, PA 18103

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1144617523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9636 CRESCENT LANE",
            "address_2": "2",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "484-866-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9636 CRESCENT LN # 2",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311830",
            "telephone_number": "484-866-7218",
            "fax_number": "484-866-7218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 S Cedar Crest Blvd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036218",
            "country_code": "US",
            "telephone_number": "610-402-7884",
            "fax_number": "610-402-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "SW130601",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "DELGROSSO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Breinigsville, PA

Sources for this page

Verify at the official NPI Registry.