Provider Demographics
NPI:1003931296
Name:JEWISH FAMILY SERVICE OF THE LEHIGH VALLEY
Entity Type:Organization
Organization Name:JEWISH FAMILY SERVICE OF THE LEHIGH VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-821-8722
Mailing Address - Street 1:2004 W ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5007
Mailing Address - Country:US
Mailing Address - Phone:610-821-8722
Mailing Address - Fax:
Practice Address - Street 1:2004 W ALLEN ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5007
Practice Address - Country:US
Practice Address - Phone:610-821-8722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0121971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASI7454508OtherHIGHMARK BS
PA001661668OtherMAGELLAN
645249KLMMedicare ID - Type Unspecified