Jae Kierstin Carreira, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023502 Issued in PA

Practice address

961 Marcon Blvd Ste 300
Allentown, PA 18109-9373

Phone

(610) 823-7799

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empowerment Pathways

  • Mental Health Counselor
  • Fountain Hill, PA
  • NPI 1750109849

  Social Worker

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1194205013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 KATHI DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178701",
            "telephone_number": "610-997-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD STE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099373",
            "telephone_number": "610-823-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREIRA",
        "first_name": "JAE",
        "middle_name": "KIERSTIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KC Carpenter, LCSW
• Peter Carpenter, CRNA
• Michele M Carr, LCSW
• Samantha Carr
• Michelle Carraro, DO
• Alice B Carreon-Coyle, M.A., CCC-A
• Carrera Acupuncture
• Saudy Carrera, L.OM.
• Gabriel Anthony Carrero, LPC
• Jacqueline Joan Carroll, MT-BC

• Clinical Social Worker in Allentown, PA
• Providers in Allentown, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.

Verify at the official NPI Registry.