Susan K Dietrich

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW127417 Issued in PA

Practice address

3400 Bath Pike
Suite 501
Bethlehem, PA 18017-2466

Phone

(610) 417-0463

NPI assigned

Jul 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olivewood CounselingGroup PAC ID 2860656642, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Olivewood Counseling

  • Clinical Social Worker
  • Bethlehem, PA
  • NPI 1518266782
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1437447331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BATH PIKE STE 501",
            "address_2": "SUITE 501",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172466",
            "telephone_number": "610-417-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BATH PIKE",
            "address_2": "SUITE 501",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172466",
            "telephone_number": "610-417-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "SUSAN",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW127417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Joel Diehl, PA-C
• Tara Rose Diehl, CRNP
• Tyler Diehl, PT, DPT
• Elizabeth Linda Dierking, MD
• Caitlin Campanella Dieterich, LPC
• Kristie Gail Dietzler, REGISTERED NURSE
• Nathan A Diffenbaugh, MSPT, DPT
• Nicole Rose Difrancesco, CRNA
• Charles E. Digby, D.O.
• Emil John Diiorio, M.D.

• Clinical Social Worker in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.

Verify at the official NPI Registry.