=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992514848
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JUDITH A MOBILIO MSW,LSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2025
-----------------------------------------------------
Last Update Date | 12/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2005 CITY LINE RD
-----------------------------------------------------
City | BETHLEHEM
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18017-7701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-410-8764
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2005 CITY LINE RD STE 300
-----------------------------------------------------
City | BETHLEHEM
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18017-7701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-865-8177
-----------------------------------------------------
Fax | 610-865-2764
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | SW142246
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------