Individual provider Active NPI

Stacy Rene' Johnson, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1013892116
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW027057 Issued in PA
Practice address
230 N Craig St Ste B
Pittsburgh, PA 15213-1569
Phone
(610) 892-3800
NPI assigned
Aug 7, 2025
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW027057 PA Primary
Social Worker 104100000X SW142974 PA

Addresses

Primary practice location

230 N Craig St Ste B
Pittsburgh, PA 15213-1569

Mailing address

230 N Craig St Ste B
Pittsburgh, PA 15213-1569
Phone (610) 892-3800

Other practice location 1

2300 Freeport Rd Ste 1A
New Kensington, PA 15068-4669
Phone (412) 406-7734

Other practice location 2

300 Northpointe Cir Ste 105
Seven Fields, PA 16046-7862
Phone (412) 406-7734

Other practice location 3

1350 Old Freeport Rd Ste 1A
Pittsburgh, PA 15238-3122
Phone (412) 406-7734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318000623 PA Practitioner - Clinical Social Worker 8729562806 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10989 Frankstown Rd
Pittsburgh, PA 15235-3045

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

PO Box
Dallas, TX 75373

PO Box
Suite 791
Carnegie, PA 15106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW142974PAMDSocial Worker
CW027057PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychological Services Social Worker CurrentSince Nov 5, 2011 Accepting new patients
Relief Sigh Inc. Clinical Current Accepting new patients
Delaware County Professional Services, Inc CurrentSince Apr 5, 2026 Accepting new patients
The Circulatory Center of PA, Inc. Past Accepting new patients

Locations

2300 Freeport Rd
Ste 1A
New Kensington, PA 15068
Phone (412) 406-7734

10989 Frankstown Rd
Pittsburgh, PA 15235
Phone (412) 376-3955

1350 Old Freeport Rd
Ste 1A
Pittsburgh, PA 15238
Phone (412) 406-7734

230 N Craig St
Ste B
Pittsburgh, PA 15213
Phone (412) 621-3777

300 Northpointe Cir
Ste 105
Seven Fields, PA 16046
Phone (412) 406-7734

Networks

  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1013892116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N CRAIG ST STE B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131569",
            "telephone_number": "610-892-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N CRAIG ST STE B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131569",
            "telephone_number": "610-892-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Freeport Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "New Kensington",
            "state": "PA",
            "postal_code": "150684669",
            "country_code": "US",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Northpointe Cir Ste 105",
            "address_purpose": "LOCATION",
            "city": "Seven Fields",
            "state": "PA",
            "postal_code": "160467862",
            "country_code": "US",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Old Freeport Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152383122",
            "country_code": "US",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STACY",
        "middle_name": "RENE'",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW027057",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW142974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.