Individual provider Active NPI

Judith M Illingworth, LCSW

  • Clinical Social Worker
  • Quakertown, PA
National Provider Identifier
1750336772
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW009624L Issued in PA
Practice address
1021 Park Ave
Suite 10
Quakertown, PA 18951-1573
Phone
(215) 529-9240
Fax
(215) 529-9284
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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 SW009624L PA Primary

Addresses

Primary practice location

1021 Park Ave
Suite 10
Quakertown, PA 18951-1573

Mailing address

1021 Park Ave
Suite 10
Quakertown, PA 18951-1573
Phone (215) 529-9240

Other identifiers 1

IdentifierTypeStateIssuer
1732364OtherPAHIGHMARK BLUE SHIELD

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
I20050210000084 PA Practitioner - Clinical Social Worker 6406807163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1107 Eaton Ave
St Lukes Psych Assoc
Bethlehem, PA 18018-1862
Phone (610) 954-3012

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW009624LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Jul 8, 2016 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jul 8, 2016 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
The Guidance Program Past Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients
Psychology Associates of Bethlehem, PC Past Accepting new patients

Locations

1107 Eaton Ave
Bethlehem, PA 18018
Phone (610) 954-3012

2545 Schoenersville Rd
Fl 5
Bethlehem, PA 18017
Phone (484) 884-6500

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15246/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1750336772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 PARK AVE",
            "address_2": "SUITE 10",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511573",
            "telephone_number": "215-529-9240",
            "fax_number": "215-529-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 PARK AVE",
            "address_2": "SUITE 10",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511573",
            "telephone_number": "215-529-9240",
            "fax_number": "215-529-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLINGWORTH",
        "first_name": "JUDITH",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW009624L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1732364",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

Verify at the official NPI Registry.