Active NPI
Mary Kalean Rourke-Duffy, MSS
- Clinical Social Worker
- Allentown, PA
National Provider Identifier
1710397237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BH001678
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BH001678 | PA | MD | Clinical 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.