Individual provider Active NPI

Sonia Mary Nowak, MSW

  • Clinical Social Worker
  • Allentown, PA
National Provider Identifier
1154370617
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW 001012 L Issued in PA
Practice address
1600 Lehigh Pkwy E
Suite 1F
Allentown, PA 18103-3000
Phone
(610) 821-7790
Fax
(610) 821-1243
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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 CW 001012 L PA Primary

Addresses

Primary practice location

1600 Lehigh Pkwy E
Suite 1F
Allentown, PA 18103-3000

Mailing address

3416 Bursonville Rd
Riegelsville, PA 18077-9747
Phone (610) 346-8775

Other identifiers 1

IdentifierTypeStateIssuer
03080601OtherPACAP BLUE CROSS

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
I20101029001235 PA Practitioner - Clinical Social Worker 5799979134 Practice locations: Bethlehem, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2016 Fairland Ave
Bethlehem, PA 18018-1602
Phone (610) 417-5961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW 001012 LPAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1154370617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 BURSONVILLE RD",
            "city": "RIEGELSVILLE",
            "state": "PA",
            "postal_code": "180779747",
            "telephone_number": "610-346-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LEHIGH PKWY E",
            "address_2": "SUITE 1F",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033000",
            "telephone_number": "610-821-7790",
            "fax_number": "610-821-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "SONIA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW 001012 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP BLUE CROSS",
            "identifier": "03080601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.