Individual provider Active NPI

Michele Siegfried, LCSW

  • Clinical Social Worker
  • Reading, PA
National Provider Identifier
1285125237
Registry record updated Oct 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021731 Issued in PA
Practice address
1800 N 12TH St
Reading, PA 19604-1545
Phone
(610) 816-5728
NPI assigned
May 25, 2018
Last updated
Oct 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW135515 PA
Clinical Social Worker 1041C0700X CW021731 PA Primary

Addresses

Primary practice location

1800 N 12TH St
Reading, PA 19604-1545

Mailing address

1800 N 12TH St
Reading, PA 19604-1545
Phone (610) 816-5728

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210507000094 PA Practitioner - Clinical Social Worker 4981013778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2200 Hamilton St
Suite 325
Allentown, PA 18104-6329
Phone (484) 706-9832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW135515PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Psychiatric & Behavioral Health Services, PLLC Social Worker CurrentSince Apr 21, 2021 Accepting new patients
Haven Behavioral Services of Reading, LLC CurrentSince May 21, 2024 Accepting new patients
Live Fully Trauma Therapy LLC Clinical CurrentSince Dec 20, 2023 Accepting new patients

Locations

2200 Hamilton St
Ste 325
Allentown, PA 18104
Phone (484) 519-0122

30 S 15th St
Ste 1550
Philadelphia, PA 19102
Phone (215) 709-7174

1800 N 12th St
Reading, PA 19604
Phone (610) 375-0544

1800 N 12th St
Ste 2
Reading, PA 19604
Phone (610) 816-5728

716 N Park Rd
Wyomissing, PA 19610
Phone (610) 375-0544

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698537600000",
    "number": "1285125237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N 12TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041545",
            "telephone_number": "610-816-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N 12TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041545",
            "telephone_number": "610-816-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGFRIED",
        "first_name": "MICHELE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135515",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.