PHILLIP MAZUR SW
NPI 1790409837
Social Worker in Bethlehem, PA

Q: What is Phillip Mazur's NPI number?

The NPI number for Phillip Mazur is 1790409837. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Q: What is Phillip Mazur's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Mazur was last updated on October 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 03, 2022PECOS EnrolledAccepts Medicare Assignment

257 BRODHEAD RD, BETHLEHEM, PA 18017(484) 822-5700(484) 822-5796 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Phillip Mazur Sw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP MAZUR SW (NPI 1790409837) is an individual social worker in Bethlehem, Pennsylvania, licensed in Pennsylvania (SW139393) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790409837

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NamePHILLIP MAZURCredential: SW

Location Address257 BRODHEAD RDBethlehem, PA 18017-8938

Mailing Address801 Ostrum St, Enrollment DeptBethlehem, PA 18015-1000 · (484) 526-4999 · Fax (833) 213-6428

Phone(484) 822-5700

Fax(484) 822-5796

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 3, 2022

NPPES CertifiedSeptember 29, 2022

✔ NPI 1790409837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in PA · SW139393

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

257 BRODHEAD RD, Bethlehem, PA 18017

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phillip Mazur Sw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890298178

PECOS Enrollment IDI20250911005184

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADFORD ALBRECHT DO MPH

Psychiatry & Neurology (Psychiatry)