Individual provider Active NPI

Kassandra Crum, LSW

  • Social Worker
  • Bethlehem, PA
National Provider Identifier
1245166594
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW143794 Issued in PA
Practice address
3235 Delong Ave
Bethlehem, PA 18020-2839
Phone
(484) 519-1805
Fax
(484) 930-0105
NPI assigned
Jun 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW143794 PA Primary

Addresses

Primary practice location

3235 Delong Ave
Bethlehem, PA 18020-2839

Mailing address

3235 Delong Ave
Bethlehem, PA 18020-2839
Phone (484) 519-1805

Other practice location 1

940 N New St Ste 125
Bethlehem, PA 18018-2756
Phone (484) 519-1805

Other practice location 2

2557 Ackermanville Rd
Bangor, PA 18013-9363
Phone (484) 519-1805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stablemind Wellness, LLC PastSince Feb 11, 2024 Accepting new patients

Organizations & group practices 1

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": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1245166594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 DELONG AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180202839",
            "telephone_number": "484-519-1805",
            "fax_number": "484-930-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 DELONG AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180202839",
            "telephone_number": "484-519-1805",
            "fax_number": "484-930-0105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 N New St Ste 125",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180182756",
            "country_code": "US",
            "telephone_number": "484-519-1805",
            "fax_number": "484-930-0105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2557 Ackermanville Rd",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "PA",
            "postal_code": "180139363",
            "country_code": "US",
            "telephone_number": "484-519-1805",
            "fax_number": "484-930-0105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUM",
        "first_name": "KASSANDRA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW143794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.