MR. JOHN W ILLINGWORTH (NPI# 1306800420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306800420 |
| Entity Type | Individual |
| Full Name | MR. JOHN W ILLINGWORTH |
| Credential | M.S.W. |
| Practice Address |
4311 Easton Ave Bethlehem PA 18020-1431 |
| Practice Telephone | 4845262400 |
| Practice Fax Number | 4845263697 |
| Mailing Telephone | 4845262400 |
| Mailing Fax Number | 4845263697 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE NUMBER | SW013073L | 01 |
| Street Address |
4311 EASTON AVE |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18020-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336114180 | Donna Jean Meneeley | Nurse Practitioner | 4311 Easton Ave, Bethlehem, PA 18020-1431 | 2006-02-22 |
| 1700396900 | Lindsay R Corvino | Nurse Practitioner | 4311 Easton Ave, Bethlehem, PA 18020-1431 | 2017-10-03 |
| 1689009193 | Sizhu Liu | Nurse Practitioner | 4311 Easton Ave, Bethlehem, PA 18020-1431 | 2013-09-04 |
| 1184816498 | Lea Reyes | Internal Medicine | 4311 Easton Ave, Bethlehem, PA 18020-1000 | 2007-08-10 |
| 1578696670 | David A Shields | Internal Medicine | 4311 Easton Ave, Bethlehem, PA 18020-1431 | 2007-03-14 |
| 1477603603 | St. Luke's Physician Group, Inc. | Internal Medicine | 4311 Easton Ave, Bethlehem, PA 18020-1431 | 2007-01-11 |
| 1992760599 | Christopher L Mathur | Internal Medicine | 4311 Easton Ave, Bethlehem, PA 18020-1431 | 2006-04-18 |
| 1952366452 | William P Kuehner | Internal Medicine | 4311 Easton Ave, Bethlehem, PA 18020-1431 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315504 | Bgp LLC | Non-emergency Medical Transport (VAN) | 4329 Rexford Drive, Bethlehem, PA 18020 | 2017-06-06 |
| 1194252882 | Jeffrey Timlin | Legal Medicine | 3382 East Boulevard, Bethlehem, PA 18020 | 2017-05-12 |
| 1104350206 | Jamie Green | Speech-Language Pathologist | 185 Butztown Road, Bethlehem, PA 18020 | 2017-04-14 |
| 1396102075 | Kati Holmes | Specialist/Technologist | 2030 Highland Ave., Coordinated Heatlh, Bethlehem, PA 18020 | 2016-01-26 |
| 1093056590 | Ching-ho Lin | Obstetrics & Gynecology | 3550 Manor Rd., Bethlehem, PA 18020 | 2013-03-07 |
| 1922338490 | Merakey Pennsylvania | Community/Behavioral Health | 1430 Coleman Streeet, Bethlehem, PA 18020 | 2010-01-06 |
| 1861720575 | Kellyn Foundation | Voluntary or Charitable | 2820 Emrick Boulevard, Bethlehem, PA 18020 | 2009-11-19 |
| 1639358542 | Ronald R Strisofsky Jr. | Dentist | 3835 Green Pond Rd, Northampton Community College, Bethlehem, PA 18020 | 2007-10-26 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1265635494 | Tonya Mineo | Speech-Language Pathologist | 3819 Timothy Ln, Bethlehem, PA 18020 | 2007-06-06 |
| Find all providers in zip 18020 | ||||
| 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.