Individual provider Active NPI

Brent A Vargo, LCSW

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1053159988
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024881 Issued in PA
Practice address
1202 State St
Erie, PA 16501-1914
Phone
(814) 455-7222
Fax
(814) 453-4857
NPI assigned
Jul 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW024881 PA Primary

Addresses

Primary practice location

1202 State St
Erie, PA 16501-1914

Mailing address

1202 State St
Erie, PA 16501-1914
Phone (814) 454-4530

Other practice location 1

1135 Lake St Ste 2
Girard, PA 16417-1049
Phone (814) 774-3155

Other practice location 2

4401 Iroquois Ave
Erie, PA 16511-2219
Phone (814) 464-0509

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
I20240820002313 PA Practitioner - Clinical Social Worker 4486192507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stairways Behavioral HealthGroup PAC ID 0143117697, 16 clinicians

Practice addresses (Care Compare)

2910 State St
Erie, PA 16508-1832
Phone (814) 464-8311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Net CurrentSince Mar 9, 2026 Accepting new patients
Stairways Behavioral Health CurrentSince Jul 2, 2024 Accepting new patients
Community Health Net CurrentSince Mar 9, 2026 Accepting new patients

Locations

4401 Iroquois Ave
Erie, PA 16511
Phone (814) 455-7222

1202 State St
Erie, PA 16501
Phone (814) 454-4530

2185 W 8th St
Erie, PA 16505
Phone (814) 464-8311

2910 State St
Erie, PA 16508
Phone (814) 454-5686

1135 Lake St
Ste 2
Girard, PA 16417
Phone (814) 454-4530

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1053159988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011914",
            "telephone_number": "814-454-4530",
            "fax_number": "814-453-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011914",
            "telephone_number": "814-455-7222",
            "fax_number": "814-453-4857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 Lake St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Girard",
            "state": "PA",
            "postal_code": "164171049",
            "country_code": "US",
            "telephone_number": "814-774-3155",
            "fax_number": "814-453-4857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Iroquois Ave",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165112219",
            "country_code": "US",
            "telephone_number": "814-464-0509",
            "fax_number": "814-453-4857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGO",
        "first_name": "BRENT",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.