Individual provider Active NPI

Stephen Thomas Libby, LSW

  • Social Worker
  • Bethlehem, PA
National Provider Identifier
1942803986
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW123283 Issued in PA
Practice address
308 E Broad St
Bethlehem, PA 18018-6311
Phone
(610) 861-8779
Fax
(610) 861-4677
NPI assigned
Nov 20, 2020
Last updated
Nov 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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 SW123283 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

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.anewdawnpa.com Direct

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
SW123283PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Coughlin Social Worker PastSince Nov 22, 2020 Accepting new patients
A New Dawn Psychotherapy Associates LLC Social Worker PastSince Nov 22, 2020 Accepting new patients

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, 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": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1942803986",
    "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": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "STEPHEN",
        "middle_name": "THOMAS",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW123283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.anewdawnpa.com",
            "affiliation": "N",
            "endpointDescription": "Secure Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "308 E Broad St",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180186311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 20, 2020; 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.