Active NPI
John W Illingworth, M.S.W.
- Clinical Social Worker
- Bethlehem, PA
National Provider Identifier
1306800420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4311 Easton Ave
Bethlehem, PA 18020-1431 - Phone
- (484) 526-2400
- Fax
- (484) 526-3697
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
4311 Easton Ave
Bethlehem, PA 18020-1431
Mailing address
4311 Easton Ave
Bethlehem, PA 18020-1431
Phone (484) 526-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW013073L | Other | PA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1306800420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4311 EASTON AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180201431",
"telephone_number": "484-526-2400",
"fax_number": "484-526-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 EASTON AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180201431",
"telephone_number": "484-526-2400",
"fax_number": "484-526-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILLINGWORTH",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "SW013073L",
"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 May 26, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.