Individual provider Active NPI

Andrea Marcolla

  • Clinical Social Worker
  • Bethlehem, PA
National Provider Identifier
1487044566
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021979 Issued in PA
Practice address
2434 Catasauqua Rd # Bh01036
Bethlehem, PA 18018-1008
Phone
(855) 417-2486
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW021979 PA Primary

Addresses

Primary practice location

2434 Catasauqua Rd # Bh01036
Bethlehem, PA 18018-1008

Mailing address

2434 Catasauqua Rd
Bethlehem, PA 18018-1008
Phone (610) 868-5122

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
I20211013000849 PA Practitioner - Clinical Social Worker 6002214624 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW021979PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. CurrentSince Aug 2, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 2, 2021 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Clinical CurrentSince Jul 25, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Minuteclinic Diagnostic of Pennsylvania LLC Clinical CurrentSince Jul 25, 2024 Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. PastSince Jun 23, 2024 Accepting new patients

Locations

1627 Chew St
Ste 403
Allentown, PA 18102
Phone (610) 696-4300

1627 Chew St
Ste 101
Allentown, PA 18102

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

450 Chew St
Ste 203
Allentown, PA 18102
Phone (484) 503-3058

2434 Catasauqua Rd
#1036
Bethlehem, PA 18018
Phone (610) 868-5122

2434 Catasauqua Rd
Bethlehem, PA 18018
Phone (610) 868-5122

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

Interoperability endpoints

  • Direct secure messaging: andreamarcolla@tdh.allscriptsdirect.net

Organizations & group practices 9

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1487044566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 CATASAUQUA RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181008",
            "telephone_number": "610-868-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 CATASAUQUA RD # BH01036",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181008",
            "telephone_number": "855-417-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOLLA",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2024-08-06",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.