Nancy Jane Blaha, LCSW BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW001727L Issued in PA

Practice address

3653 Cottage Dr
Bethlehem, PA 18020-8617

Phone

(484) 281-3109

NPI assigned

Aug 25, 2005

Last updated

Aug 19, 2021By the provider in NPPES

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

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1619960572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3653 COTTAGE DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208617",
            "telephone_number": "484-281-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 COTTAGE DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208617",
            "telephone_number": "484-281-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAHA",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LCSW BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW001727L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "00166Z6ZZ",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAIC",
            "identifier": "01091401",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Bishop, CRNA
• Susan Bisio, PT
• Jason Bruce Black, D.O.
• Kimberly Sarah Blackaby, DPT
• Kimberly Blackham, PH.D., LMFT
• Britani Blahoski, RN
• Patrick T Blanchfield, M.D.
• Blaire Blaufarb, MS CCC-SLP/L
• Katie Blazusiak
• Jennifer Lee Bleiler, L.P.C.

• 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 Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.