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

Phillip Mazur, SW

Individual provider Social Worker · NPI 1790409837

Phillip Mazur, SW is a Clinical Social Worker in Bethlehem, Pennsylvania. Qualified in 2017, 9 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2022
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Practice location Address checks out

257 Brodhead Rd
Bethlehem, PA 18017-8938
Phone: (484) 822-5700
Fax: (484) 822-5796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence SW139393 (PA)

Record details

NPI number1790409837
Entity typeIndividual (Type 1)
GenderMale
Credentials SW
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESOctober 3, 2022
Certification dateSeptember 29, 2022
Mailing address801 Ostrum St, Enrollment Dept, Bethlehem, PA 18015-1000

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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