Individual provider Active NPI

Phoebe Myria Bailey Whitcomb, LCSW, MDIV., DMIN

  • Social Worker
  • Macungie, PA
National Provider Identifier
1467035915
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CW026342 Issued in PA
Practice address
3475 Chester Dr
Macungie, PA 18062-2093
Phone
(254) 400-0139
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CW026342 PA Primary

Addresses

Primary practice location

3475 Chester Dr
Macungie, PA 18062-2093

Mailing address

3475 Chester Dr
Macungie, PA 18062-2093
Phone (254) 400-0139

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
I20251010000680 PA Practitioner - Clinical Social Worker 8729585195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Sep 6, 2025 Accepting new patients
A New Dawn Psychotherapy Associates LLC Social Worker PastSince May 1, 2021 Accepting new patients
Kathleen Coughlin Social Worker PastSince May 1, 2021 Accepting new patients

Locations

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

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1467035915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 CHESTER DR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180622093",
            "telephone_number": "254-400-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 CHESTER DR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180622093",
            "telephone_number": "254-400-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY WHITCOMB",
        "first_name": "PHOEBE",
        "middle_name": "MYRIA",
        "credential": "LCSW, MDIV., DMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW026342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macungie, PA

Sources for this page

Verify at the official NPI Registry.