Active NPI
Rebecca Small, MSW, LCSW
- Clinical Social Worker
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW018349
- Practice address
- 850 S 5TH St
Allentown, PA 18103-3308 - Phone
- (610) 776-3214
- Fax
- (610) 776-3506
- NPI assigned
- Dec 10, 2013
- Last updated
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW123984 | PA | |
| Clinical Social Worker | 1041C0700X | CW018349 | PA | Primary |
Addresses
Primary practice location
850 S 5TH St
Allentown, PA 18103-3308
Mailing address
850 S 5TH St
Allentown, PA 18103-3308
Phone (610) 776-3214
Other practice location 1
2855 Schoenersville Rd
Bethlehem, PA 18017-7306
Phone (610) 776-3214
Other practice location 2
90 S Commerce Way
Bethlehem, PA 18017-8601
Phone (610) 691-8401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103029382-0002 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
257 Brodhead Rd
Bethlehem, PA 18017-8938
Phone (484) 526-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW123984 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke's Physician Group Inc | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| Concern-Professional Services for Children, Youth & Families | Past | Accepting new patients |
Locations
257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
dba St. Luke's Fogelsville Primary Care
- Family Medicine Physician
- Fogelsville, PA
- NPI 1326492257
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bethlehem, PA
- NPI 1518140235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1174954614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 S 5TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033308",
"telephone_number": "610-776-3214",
"fax_number": "610-776-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S 5TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033308",
"telephone_number": "610-776-3214",
"fax_number": "610-776-3506"
}
],
"practiceLocations": [
{
"address_1": "2855 Schoenersville Rd",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180177306",
"country_code": "US",
"telephone_number": "610-776-3214",
"fax_number": "610-776-3506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "90 S Commerce Way",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180178601",
"country_code": "US",
"telephone_number": "610-691-8401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMALL",
"first_name": "REBECCA",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-10",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW123984",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW018349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103029382-0002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.