Individual provider Active NPI

Jonathan Charles Egge, LCSW

  • Clinical Social Worker
  • Allentown, PA
National Provider Identifier
1841826468
Registry record updated Mar 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW16125 Issued in PA
Practice address
968 Postal Rd Ste 315
Allentown, PA 18109-9349
Phone
(610) 443-0464
NPI assigned
Mar 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2020

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 CW16125 PA Primary

Addresses

Primary practice location

968 Postal Rd Ste 315
Allentown, PA 18109-9349

Mailing address

968 Postal Rd Ste 315
Allentown, PA 18109-9349
Phone (610) 443-0464

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
I20211119001395 PA Practitioner - Clinical Social Worker 2365831914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1320 Hausman Rd
Suite 100
Allentown, PA 18104-9056
Phone (855) 284-7483

5830 Ellsworth Ave
Suite 301
Pittsburgh, PA 15232-1778
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW16125PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Nov 15, 2021 Accepting new patients
Dynamic Counseling Associates CurrentSince Jul 24, 2022 Accepting new patients

Locations

968 Postal Rd
Ste 315
Allentown, PA 18109
Phone (610) 443-0406

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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": "1584230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584230400000",
    "number": "1841826468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 POSTAL RD STE 315",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099349",
            "telephone_number": "610-443-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 POSTAL RD STE 315",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099349",
            "telephone_number": "610-443-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGE",
        "first_name": "JONATHAN",
        "middle_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-15",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW16125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.