ANDREW TILLY (NPI# 1104274042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104274042 |
| Entity Type | Individual |
| Full Name | ANDREW TILLY |
| Credential | MSW |
| Practice Address |
1650 Broadway Bethlehem PA 18015-3904 |
| Mailing Address |
4727 Harriet Ln Bethlehem PA 18017 |
| Practice Telephone | 6107998600 |
| Mailing Telephone | 6107519492 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | SW123997 | PA | Other Service Providers |
| Street Address |
1650 BROADWAY |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841362167 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 1650 Broadway, Bethlehem, PA 18015 | 2006-11-14 |
| 1154956605 | Tracy Elizabeth Farkas | Counselor | 1650 Broadway, Bethlehem, PA 18015-3904 | 2020-03-05 |
| 1386135226 | Jessica Kristine Malewicz | Behavioral Analyst | 1650 Broadway, Bethlehem, PA 18015-3904 | 2018-05-27 |
| 1396234241 | Ashley L Mcfadden | Behavioral Analyst | 1650 Broadway, Bethlehem, PA 18015-3904 | 2018-05-07 |
| 1437648474 | Robyn Paul | Behavioral Analyst | 1650 Broadway, Bethlehem, PA 18017-3998 | 2018-05-04 |
| 1225559552 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1650 Broadway, Bethlehem, PA 18015-3904 | 2017-06-27 |
| 1053862722 | Serena Bednarczyk | Counselor | 1650 Broadway, Bethlehem, PA 18015-3904 | 2016-10-18 |
| 1366893083 | Ashley Marie Joseph | Social Worker | 1650 Broadway, Bethlehem, PA 18015 | 2016-06-23 |
| 1215384680 | Gina Galardi | Counselor | 1650 Broadway, Bethlehem, PA 18015-3904 | 2016-05-16 |
| 1669880928 | Kidspeace | Community/Behavioral Health | 1650 Broadway, Bethlehem, PA 18015-3904 | 2014-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568548865 | Kim Parrish | Case Manager/Care Coordinator | 638 Saddle Ridge Dr, Bethlehem, GA 30620-2046 | 2006-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245926 | Alejandro Cora IIi | Case Manager/Care Coordinator | 2310 Redwood Rd, York, PA 17408-3943 | 2020-11-02 |
| 1386250546 | Lindsay Margarida Stiem | Case Manager/Care Coordinator | 3600 Market St Fl 6, Philadelphia, PA 19104-2669 | 2020-09-22 |
| 1962018879 | Magaret Ann Booker | Case Manager/Care Coordinator | 229 Gans Hill School Rd, Smithfield, PA 15478-1327 | 2020-09-17 |
| 1285242297 | Theresa Walter | Case Manager/Care Coordinator | 1061 Livorno Dr, Oakdale, PA 15071-1795 | 2020-07-15 |
| 1023633872 | Raenita Janay Robinson | Case Manager/Care Coordinator | 3600 Market St # 6thf, Philadelphia, PA 19104-3284 | 2020-06-08 |
| 1558990069 | Human Coalition | Case Manager/Care Coordinator | 101 Drake Rd Ste A, Pittsburgh, PA 15241-1556 | 2020-04-06 |
| 1124656467 | Desiree Driver | Case Manager/Care Coordinator | 2417 Welsh Rd Ste 209, Philadelphia, PA 19114-2211 | 2020-03-31 |
| 1225662117 | Wecarefirst Support Coordination LLC | Case Manager/Care Coordinator | 108 Henderson Ave, Norwood, PA 19074-1811 | 2020-02-28 |
| 1902439185 | Jenna M Dannunzio | Case Manager/Care Coordinator | 600 N. Olive Street, Media, PA 19063-2418 | 2020-02-17 |
| 1154961571 | Corina Jones | Case Manager/Care Coordinator | 2001 Alsace Rd, Reading, PA 19604-1442 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
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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.