Individual provider Active NPI

Stephanie Novotny Kegel, LCSW CAADC

  • Social Worker
  • Lancaster, PA
National Provider Identifier
1073759908
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW126453 Issued in PA
Practice address
2421 Willow Street Pike
Lancaster, PA 17602
Phone
(717) 464-1440
NPI assigned
Dec 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4504 PA
Social Worker 104100000X SW126453 PA Primary
Clinical Social Worker 1041C0700X CW016934 PA

Addresses

Primary practice location

2421 Willow Street Pike
Lancaster, PA 17602

Mailing address

52 W Millport Rd
Lititz, PA 17543-9324
Phone (717) 625-3083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4504PAMDAddiction (Substance Use Disorder) Counselor
SW126453PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SNK Counseling Services Current Accepting new patients

Organizations & group practices 1

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": "1230076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1073759908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W MILLPORT RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439324",
            "telephone_number": "717-625-3083",
            "fax_number": "717-625-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 WILLOW STREET PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17602",
            "telephone_number": "717-464-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEGEL",
        "first_name": "STEPHANIE",
        "middle_name": "NOVOTNY",
        "credential": "LCSW CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-24",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "4504",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126453",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.