MARY JEAN COLE (NPI# 1093736886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093736886 |
| Entity Type | Individual |
| Full Name | MARY JEAN COLE |
| Credential | MSW, LCSW |
| Practice Address |
52 E Broad St Bethlehem PA 18018-5948 |
| Mailing Address |
411 W Walnut St Allentown PA 18102-5427 |
| Practice Telephone | 6108673946 |
| Practice Fax Number | 6108673948 |
| Mailing Telephone | 6104359651 |
| Mailing Fax Number | 6104359654 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW003349L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PIN | 4297241 | 01 | |
| CAPITAL BLUE CROSS PIN | 01091901 | 01 | |
| AMERIHEALTH PIN | 0475445000 | 01 |
| Street Address |
52 E BROAD ST |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018-5948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649558909 | Penny Mcphaul | Counselor | 52 E Broad St, Bethlehem, PA 18018-5948 | 2011-08-03 |
| 1265769764 | Bethlehem Counseling Center & Christian Therapy Associates LLC | Counselor | 52 E Broad St, Bethlehem, PA 18018-5948 | 2009-11-04 |
| 1235361874 | Karla Matamoros | Social Worker | 52 E Broad St, Bethlehem, PA 18018-5948 | 2009-08-16 |
| 1609008234 | Franklin Ortiz | Social Worker | 52 E Broad St, Bethlehem, PA 18018-5948 | 2009-08-15 |
| 1215118856 | Gloria Yvette Velazquez | Social Worker | 52 E Broad St, Bethlehem, PA 18018-5948 | 2007-11-26 |
| 1609096528 | Kwabena Bobie Amankwatia | Counselor | 52 E Broad St, Bethlehem, PA 18018-5948 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| Find all providers in zip 18018 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693419 | Gina Marie Funicello | Social Worker | 274 Main St N, Bethlehem, CT 06751-1401 | 2020-09-10 |
| 1841830825 | Shefali Mittal | Social Worker | 3590 Manor Rd, Bethlehem, PA 18020-8605 | 2020-01-08 |
| 1497397186 | Valerie Lees | Social Worker | 1271 Gaspar Ave, Bethlehem, PA 18017-1053 | 2019-10-14 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1366927410 | Gia Koumantzelis | Social Worker | 240 Valley View Lane, Bethlehem, NH 03574 | 2018-09-25 |
| 1346739828 | May B. Ambrogi, Lcsw Pllc | Social Worker | 35 E Elizabeth Ave Ste 29a, Bethlehem, PA 18018-6505 | 2018-05-09 |
| 1114426517 | Mary Martucci | Social Worker | 2045 Westgate Dr Ste 304, Bethlehem, PA 18017-7475 | 2018-02-12 |
| 1396297396 | Nikida Allen | Social Worker | 1414 Pennsylvania Ave, Bethlehem, PA 18018-2017 | 2016-10-26 |
| 1699135467 | Valerie K Peterson | Social Worker | 1 W Broad St Fl 11, Bethlehem, PA 18018-5717 | 2016-03-07 |
| 1134470032 | Stefanie Warner | Social Worker | 90 South Commerce Way, Suite 300, Bethlehem, PA 18017 | 2012-10-02 |
| Find all providers in BETHLEHEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.