Individual provider Active NPI

Rana N Dimmig, LCSW

  • Clinical Social Worker
  • Bethlehem, PA
National Provider Identifier
1841565983
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019757 Issued in PA
Practice address
308 E Broad St
Bethlehem, PA 18018-6311
Phone
(610) 861-8779
Fax
(610) 861-4677
NPI assigned
Mar 21, 2012
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW125268 PA
Clinical Social Worker 1041C0700X CW019757 PA Primary

Addresses

Primary practice location

308 E Broad St
Bethlehem, PA 18018-6311

Mailing address

308 E Broad St
Bethlehem, PA 18018-6311
Phone (610) 861-8779

Other practice location 1

1180 Route 100
Bechtelsville, PA 19505-9016
Phone (610) 861-8779

Other identifiers 2

IdentifierTypeStateIssuer
103416617-0002MedicaidPA
103416617-0001MedicaidPA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW125268PAMDSocial Worker
CW019757PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A New Dawn Family Solutions LLC Clinical CurrentSince Jan 1, 2020 Accepting new patients
A New Dawn Psychotherapy Associates LLC Social Worker CurrentSince Feb 14, 2021 Accepting new patients
Kathleen Coughlin Social Worker PastSince Feb 14, 2021 Accepting new patients

Locations

308 E Broad St
Bethlehem, PA 18018
Phone (610) 861-8779

100 Schaeffer St
Ste 3
Boyertown, PA 19512

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1841565983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186311",
            "telephone_number": "610-861-8779",
            "fax_number": "610-861-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186311",
            "telephone_number": "610-861-8779",
            "fax_number": "610-861-4677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Route 100",
            "address_purpose": "LOCATION",
            "city": "Bechtelsville",
            "state": "PA",
            "postal_code": "195059016",
            "country_code": "US",
            "telephone_number": "610-861-8779",
            "fax_number": "610-861-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMMIG",
        "first_name": "RANA",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125268",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103416617-0002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103416617-0001",
            "state": "PA"
        }
    ],
    "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 Mar 27, 2024; 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.