Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jill Marie Busolits Kaczmarek

Individual provider Clinical Social Worker · NPI 1063072577

Mrs. Jill Marie Busolits Kaczmarek is a Clinical Social Worker in Allentown, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Haven House, a 9-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
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Practice location Address checks out

1411 Union Blvd
Allentown, PA 18109-1505
Phone: (610) 433-6181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW026275 (PA)

Record details

NPI number1063072577
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Haven House — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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