Active NPI
Diane Carol Stowe, LCSW
- Clinical Social Worker
- Lansdowne, PA
National Provider Identifier
1013959543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW 3011 L
- Practice address
- 60 S Lansdowne Ave
Lansdowne, PA 19050-2343 - Phone
- (267) 253-8308
- Fax
- (610) 626-1264
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW 3011 L | PA | Primary |
Addresses
Primary practice location
60 S Lansdowne Ave
Lansdowne, PA 19050-2343
Mailing address
121 N Oak Ave
Clifton Heights, PA 19018-1426
Phone (267) 253-8308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019497580001 | Medicaid | PA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060727000251 | PA | Practitioner - Clinical Social Worker | 2668485269 | Practice locations: Lansdowne, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
60 S Lansdowne Ave
Lansdowne, PA 19050-2343
Phone (267) 253-8308
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW 3011 L | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1013959543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N OAK AVE",
"city": "CLIFTON HEIGHTS",
"state": "PA",
"postal_code": "190181426",
"telephone_number": "267-253-8308",
"fax_number": "610-259-0562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 S LANSDOWNE AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190502343",
"telephone_number": "267-253-8308",
"fax_number": "610-626-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOWE",
"first_name": "DIANE",
"middle_name": "CAROL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW 3011 L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019497580001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansdowne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.