Active NPI
Elizabeth J. Walton-Phillips, LCSW
- Clinical Social Worker
- Bethlehem, PA
National Provider Identifier
1831297142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW012730
- Practice address
- 1107 Eaton Ave
Bethlehem, PA 18018-1862 - Phone
- (610) 954-3012
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | CW012730 | PA | Primary |
Addresses
Primary practice location
1107 Eaton Ave
Bethlehem, PA 18018-1862
Mailing address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (610) 954-3383
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW012730 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep Well Health Care LLC | Past | Accepting new patients | |
| St. Luke'S Hospital | Past | Accepting new patients | |
| Christopher Hershman | Past | Accepting new patients | |
| St. Luke'S Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/23303/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831297142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000",
"telephone_number": "610-954-3383",
"fax_number": "610-954-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 EATON AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181862",
"telephone_number": "610-954-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON-PHILLIPS",
"first_name": "ELIZABETH",
"middle_name": "J.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW012730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.