Individual provider Active NPI

Kate Annie Dreisbach, LCSW

  • Clinical Social Worker
  • Allentown, PA
National Provider Identifier
1164139986
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023132 Issued in PA
Practice address
1627 Chew St Ste 101
Allentown, PA 18102-3648
Phone
(610) 969-2382
Fax
(610) 969-2178
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW023132 PA Primary
Mental Health Counselor 101YM0800X SW135365 PA

Addresses

Primary practice location

1627 Chew St Ste 101
Allentown, PA 18102-3648

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-0688

Other practice location 1

1628 Chew St Fl 1
Allentown, PA 18102-3649
Phone (610) 969-3003

Other practice location 2

400 N 17th St Ste 300
Allentown, PA 18104-5052
Phone (610) 969-3500

Other identifiers 1

IdentifierTypeStateIssuer
103766820-0009MedicaidPA

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
I20240416003834 PA Practitioner - Clinical Social Worker 8921447483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW135365PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Partners Community Health Center Current Accepting new patients

Locations

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

1627 Chew St
Ste 101
Allentown, PA 18102

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3100

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1164139986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-0688",
            "fax_number": "484-884-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 CHEW ST STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023648",
            "telephone_number": "610-969-2382",
            "fax_number": "610-969-2178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1628 Chew St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181023649",
            "country_code": "US",
            "telephone_number": "610-969-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N 17th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181045052",
            "country_code": "US",
            "telephone_number": "610-969-3500",
            "fax_number": "610-969-3605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREISBACH",
        "first_name": "KATE",
        "middle_name": "ANNIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023132",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW135365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103766820-0009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.