Philip G. Rusche, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017656 Issued in PA

Practice address

54 S Commerce Way Ste 100
Bethlehem, PA 18017-8966

Phone

(610) 866-2020

Fax

(610) 866-2055

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1740244508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 FRONT ST",
            "city": "ROSETO",
            "state": "PA",
            "postal_code": "180131324",
            "telephone_number": "610-248-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 S COMMERCE WAY STE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178966",
            "telephone_number": "610-866-2020",
            "fax_number": "610-866-2055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 Westgate Dr",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180177480",
            "country_code": "US",
            "telephone_number": "610-865-8177",
            "fax_number": "610-865-2764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSCHE",
        "first_name": "PHILIP",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "SW010990L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo Ruiz
• Roberto Gabriel Ruiz
• Ruliving Institute, LLC
• Taylor Elizabeth Rundatz, MD, MPH
• Samantha Ashley Ruppert
• Jessica Anne Rush, PA-C
• Eric Joseph Rusiewicz
• Kori J. Rusnock
• Patrick Russell
• Stephanie Russell

• 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 Nov 14, 2018; 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.