Janice Ann Bourdage, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017209 Issued in PA

Practice address

51 E Elizabeth Ave
Bethlehem, PA 18018-6504

Phone

(610) 428-6044

NPI assigned

Jun 11, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Quaker State Medical Services Co Inc

  • Non-Pharmacy Dispensing Site
  • Exton, PA
  • NPI 1629089578
  NPD (past)

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1487035853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 ELM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182912",
            "telephone_number": "610-428-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E ELIZABETH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186504",
            "telephone_number": "610-428-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDAGE",
        "first_name": "JANICE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurean Botrus, PSY D
• Candace R Bott, CRNA
• Kayla Nicole Bottcher, AU.D.
• Teja Botz
• Alain Robert Bouckenooghe, MD
• Youcef Amine Boureghda, MD
• George J Bowen, DO
• Matthew Stephen Bower, ATS
• Colin Charles Bowers, P.A.-C.
• Daniel Joseph Bowers, MD

• 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 Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.