Healthcare Provider Details

I. General information

NPI: 1013842335
Provider Name (Legal Business Name): JAIMEE WALTERS LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1336 CATASAUQUA RD
BETHLEHEM PA
18017-7402
US

IV. Provider business mailing address

5344 SEIP RD
BETHLEHEM PA
18017-8205
US

V. Phone/Fax

Practice location:
  • Phone: 484-637-5006
  • Fax:
Mailing address:
  • Phone: 484-637-5006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW122708
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: