Stacy A. Bania, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019997 Issued in PA

Practice address

281 E Evergreen St
West Grove, PA 19390-1027

Phone

(610) 234-2913

NPI assigned

Aug 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Like Minds Counseling LLC

  • Marriage & Family Therapist
  • West Grove, PA
  • NPI 1992329957
  NPD (past)

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1104131580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 E EVERGREEN ST",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193901027",
            "telephone_number": "610-234-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 E EVERGREEN ST",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193901027",
            "telephone_number": "610-234-2913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 E Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Kennett Square",
            "state": "PA",
            "postal_code": "193481800",
            "country_code": "US",
            "telephone_number": "610-388-9225 x339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1902 Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198054605",
            "country_code": "US",
            "telephone_number": "302-655-7108",
            "fax_number": "302-655-0689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANIA",
        "first_name": "STACY",
        "middle_name": "A.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ati Holdings, LLC
• Avon Grove Charter School
• Avon Grove School District
• Karen K Baird, MD
• Leah Balsamo, MS, LAT, ATC
• Linda Barkasy, MD
• Michael A. Barkasy Jr., M.D.
• John Christopher Barlow, MD
• Taylor Bartusek
• Julia Batman, PHARMD, BCPS

• All providers in West Grove, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.