Individual provider Active NPI

Rebecca Yetiskul

  • Clinical Social Worker
  • Bethlehem, PA
National Provider Identifier
1730655424
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021789 Issued in PA
Practice address
2434 Catasauqua Rd
Bethlehem, PA 18018-1008
Phone
(412) 638-2144
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW021789 PA Primary
Social Worker 104100000X SW135436 PA

Addresses

Primary practice location

2434 Catasauqua Rd
Bethlehem, PA 18018-1008

Mailing address

2434 Catasauqua Rd
Bethlehem, PA 18018-1008

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240307000121 PA Practitioner - Clinical Social Worker 9931545464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Video Virtual Care, PLLCGroup PAC ID 0143650416, 36 clinicians

Practice addresses (Care Compare)

2434 Catasauqua Rd
Bethlehem, PA 18018-1008
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW135436PAMDSocial Worker
CW021789PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Video Virtual Care, PLLC Clinical CurrentSince Jul 24, 2025 Accepting new patients
Minuteclinic Diagnostic of Pennsylvania LLC Clinical CurrentSince Jul 24, 2025 Accepting new patients

Locations

2434 Catasauqua Rd
Bethlehem, PA 18018
Phone (610) 868-5122

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

Organizations & group practices 2

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": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1730655424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 CATASAUQUA RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 CATASAUQUA RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181008",
            "telephone_number": "412-638-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YETISKUL",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021789",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.