Active NPI
Kelly Colfer, LSW
- Social Worker
- Bethlehem, PA
National Provider Identifier
1275579559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW123175
- Practice address
- 2545 Schoenersville Rd
Banko Center
Bethlehem, PA 18017-7300 - Phone
- (610) 866-9000
- NPI assigned
- Jun 22, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW123175 | PA | Primary |
Addresses
Primary practice location
2545 Schoenersville Rd
Banko Center
Bethlehem, PA 18017-7300
Mailing address
1650 Valley Center Pkwy
Suite 100
Bethlehem, PA 18017-2344
Phone (484) 884-4436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50058138 | Other | PA | CAPITAL BLUE CROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW123175 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275579559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 VALLEY CENTER PKWY",
"address_2": "SUITE 100",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180172344",
"telephone_number": "484-884-4436",
"fax_number": "484-884-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 SCHOENERSVILLE RD",
"address_2": "BANKO CENTER",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177300",
"telephone_number": "610-866-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLFER",
"first_name": "KELLY",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW123175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50058138",
"state": "PA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.