Individual provider Active NPI

Luke Badaczewski, LSW

  • Social Worker
  • Bethlehem, PA
National Provider Identifier
1619832953
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW142060 Issued in PA
Practice address
701 W Broad St Ste 204
Bethlehem, PA 18018-5229
Phone
(484) 954-8327
NPI assigned
Dec 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 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 SW142060 PA Primary

Addresses

Primary practice location

701 W Broad St Ste 204
Bethlehem, PA 18018-5229

Mailing address

701 W Broad St Ste 204
Bethlehem, PA 18018-5229
Phone (484) 954-8327

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

State licenses

LicenseStateTypeSpecialty
SW142060PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yaqub Counseling Services LLC CurrentSince Jul 1, 2026 Accepting new patients

Locations

701 W Broad St
Ste 204
Bethlehem, PA 18018
Phone (484) 488-7335

Organizations & group practices 1

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": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1619832953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W BROAD ST STE 204",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185229",
            "telephone_number": "484-954-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W BROAD ST STE 204",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185229",
            "telephone_number": "484-954-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADACZEWSKI",
        "first_name": "LUKE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW142060",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 18, 2025; 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.