Individual provider Active NPI

Susan Barradale, LSW

  • Social Worker
  • Palmerton, PA
National Provider Identifier
1780094342
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW125900 Issued in PA
Practice address
3295 Forest Inn Rd Ste 3
Palmerton, PA 18071-5467
Phone
(855) 826-8482
Fax
(833) 329-8482
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW125900 PA Primary

Addresses

Primary practice location

3295 Forest Inn Rd Ste 3
Palmerton, PA 18071-5467

Mailing address

3295 Forest Inn Rd Ste 3
Palmerton, PA 18071-5467
Phone (855) 826-8482

Other practice location 1

3735 Easton Nazareth Hwy Ste 102
Easton, PA 18045-8345
Phone (855) 826-8482

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
I20190402000978 PA Practitioner - Clinical Social Worker 4688915564 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW125900PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Jan 14, 2025 Accepting new patients
Vita Counseling Partners CurrentSince Mar 15, 2019 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3735 Nazareth Rd
Ste 102
Easton, PA 18045
Phone (610) 252-0358

3295 Forest Inn Rd
Ste 3
Palmerton, PA 18071
Phone (610) 826-8482

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1780094342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 FOREST INN RD STE 3",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180715467",
            "telephone_number": "855-826-8482",
            "fax_number": "833-329-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 FOREST INN RD STE 3",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180715467",
            "telephone_number": "855-826-8482",
            "fax_number": "833-329-8482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3735 Easton Nazareth Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180458345",
            "country_code": "US",
            "telephone_number": "855-826-8482",
            "fax_number": "833-329-8482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRADALE",
        "first_name": "SUSAN",
        "name_prefix": "Miss",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

Verify at the official NPI Registry.