Active NPI
Amber Romanyshyn, LCSW
- Clinical Social Worker
- Allentown, PA
National Provider Identifier
1245696251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW018636
- Practice address
- 1259 S Cedar Crest Blvd Ste 230
Allentown, PA 18103-6376 - Phone
- (610) 402-5900
- Fax
- (610) 402-4650
- NPI assigned
- Jan 6, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW018636 | PA | Primary |
Addresses
Primary practice location
1259 S Cedar Crest Blvd Ste 230
Allentown, PA 18103-6376
Mailing address
1605 N Cedar Crest Blvd Ste 411
Allentown, PA 18104-2323
Phone (610) 969-1914
Other practice location 1
412 E 7th St
Northampton, PA 18067-1880
Phone (610) 426-1469
Other names 1
- Amber Wilson
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW018636 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- amberromanyshyn@tdh.allscriptsdirect.net
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": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1245696251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 N CEDAR CREST BLVD STE 411",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042323",
"telephone_number": "610-969-1914",
"fax_number": "610-969-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 S CEDAR CREST BLVD STE 230",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036376",
"telephone_number": "610-402-5900",
"fax_number": "610-402-4650"
}
],
"practiceLocations": [
{
"address_1": "412 E 7th St",
"address_purpose": "LOCATION",
"city": "Northampton",
"state": "PA",
"postal_code": "180671880",
"country_code": "US",
"telephone_number": "610-426-1469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMANYSHYN",
"first_name": "AMBER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-06",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW018636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "WILSON",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 10, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.