Individual provider Active NPI

Mary Kalean Rourke-Duffy, MSS

  • Clinical Social Worker
  • Allentown, PA
National Provider Identifier
1710397237
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BH001678 Issued in PA
Practice address
4235 E Texas Rd
Allentown, PA 18103-9357
Phone
(484) 866-1361
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2014

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 BH001678 PA Primary

Addresses

Primary practice location

4235 E Texas Rd
Allentown, PA 18103-9357

Mailing address

4235 E Texas Rd
Allentown, PA 18103-9357
Phone (484) 866-1361

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
BH001678PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1710397237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 E TEXAS RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181039357",
            "telephone_number": "484-866-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 E TEXAS RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181039357",
            "telephone_number": "484-866-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROURKE-DUFFY",
        "first_name": "MARY",
        "middle_name": "KALEAN",
        "credential": "MSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "BH001678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.