Individual provider Active NPI

Joel Kromer, L.C.S.W.

  • Clinical Social Worker
  • Bethlehem, PA
National Provider Identifier
1902104656
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016343 Issued in PA
Practice address
3062 Cornwall Rd
Bethlehem, PA 18017-3314
Phone
(484) 892-1189
NPI assigned
Mar 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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 CW016343 PA Primary

Addresses

Primary practice location

3062 Cornwall Rd
Bethlehem, PA 18017-3314

Mailing address

3062 Cornwall Rd
Bethlehem, PA 18017-3314
Phone (484) 892-1189

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
I20190905000134 PA Practitioner - Clinical Social Worker 3173852845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodling CorporationGroup PAC ID 2466756283, 19 clinicians

Practice addresses (Care Compare)

2005 City Line Rd
Suite 300
Bethlehem, PA 18017-7701
Phone (610) 865-8177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Woodling Corporation Clinical CurrentSince Jul 30, 2019 Accepting new patients
Quaker State Medical Services Co Inc Past Accepting new patients

Locations

2045 Westgate Dr
Ste 304
Bethlehem, PA 18017
Phone (610) 865-8177

2005 City Line Rd
Ste 300
Bethlehem, PA 18017
Phone (610) 865-8177

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": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1902104656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3062 CORNWALL RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173314",
            "telephone_number": "484-892-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3062 CORNWALL RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173314",
            "telephone_number": "484-892-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROMER",
        "first_name": "JOEL",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.