Individual provider Active NPI

Carolyn Elizabeth Momm, M.S.W.

  • Social Worker
  • Bethlehem, PA
National Provider Identifier
1568426328
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2045 Westgate Dr
Suite 304
Bethlehem, PA 18017-7480
Phone
(610) 865-8177
Fax
(610) 865-2764
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 Primary

Addresses

Primary practice location

2045 Westgate Dr
Suite 304
Bethlehem, PA 18017-7480

Mailing address

1315 Island Park Rd
Easton, PA 18042-9560
Phone (610) 923-6766

Other identifiers 1

IdentifierTypeStateIssuer
SW006358LOtherPALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568426328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ISLAND PARK RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180429560",
            "telephone_number": "610-923-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DR",
            "address_2": "SUITE 304",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177480",
            "telephone_number": "610-865-8177",
            "fax_number": "610-865-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMM",
        "first_name": "CAROLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "SW006358L",
            "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 Jul 13, 2026; 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.