Individual provider Active NPI

Michelina Depaoli, LCSW

  • Clinical Social Worker
  • Allentown, PA
National Provider Identifier
1285994533
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018157 Issued in PA
Practice address
1627 Chew St Ste 101
Allentown, PA 18102-3648
Phone
(610) 969-4370
Fax
(610) 969-3023
NPI assigned
May 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 SW128120 PA
Clinical Social Worker 1041C0700X CW018157 PA Primary

Addresses

Primary practice location

1627 Chew St Ste 101
Allentown, PA 18102-3648

Mailing address

2100 Mack Blvd
Allentown, PA 18103-5622

Other practice location 1

1730 Chew St
Allentown, PA 18104-5549
Phone (610) 969-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151130001444 PA Practitioner - Clinical Social Worker 1759681513 Reassigns benefits to 2 organizations
I20250409001662 NJ Practitioner - Clinical Social Worker 1759681513 Reassigns benefits to 1 organization
I20250409001818 NY Practitioner - Clinical Social Worker 1759681513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW128120PAMDSocial Worker
099826NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Sep 11, 2024 Accepting new patients
Family Care Centers Inc. CurrentSince Aug 4, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Mar 15, 2025 Accepting new patients
Family Care Centers Inc CurrentSince Aug 4, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

1627 Chew St
Ste 101
Allentown, PA 18102

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

600 Commerce Blvd
Stroudsburg, PA 18360
Phone (570) 424-7390

Organizations & group practices 4

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1285994533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 CHEW ST STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023648",
            "telephone_number": "610-969-4370",
            "fax_number": "610-969-3023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Chew St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181045549",
            "country_code": "US",
            "telephone_number": "610-969-3500",
            "fax_number": "610-969-3605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPAOLI",
        "first_name": "MICHELINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128120",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.