Individual provider Active NPI

Stephanie E. Rakoczy-Schetrompf, LCSW

  • Social Worker
  • Everett, PA
National Provider Identifier
1205166329
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW127675 Issued in PA
Practice address
114 Water St
Everett, PA 15537-1206
Phone
(814) 585-1982
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW127675 PA Primary

Addresses

Primary practice location

114 Water St
Everett, PA 15537-1206

Mailing address

114 Water St
Everett, PA 15537-1206
Phone (814) 585-1982

Other identifiers 1

IdentifierTypeStateIssuer
1024157870001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100414000665 PA Practitioner - Clinical Social Worker 6002943511 Reassigns benefits to 1 organization
I20220427001145 NJ Practitioner - Clinical Social Worker 6002943511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Behavioral Health, PLLCGroup PAC ID 3173953171, 4 clinicians

Practice addresses (Care Compare)

16 Water St
Suite 101
Everett, PA 15537-1237
Phone (814) 283-5535

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
76.62
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW127675PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Behavioral Health, PLLC CurrentSince Mar 24, 2025 Accepting new patients
Fulton Behavioral Health Services PC Social Worker PastSince Mar 1, 2010 Accepting new patients

Locations

16 Water St
Ste 101
Everett, PA 15537
Phone (814) 283-5535

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": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1205166329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WATER ST",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155371206",
            "telephone_number": "814-585-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WATER ST",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155371206",
            "telephone_number": "814-585-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOCZY-SCHETROMPF",
        "first_name": "STEPHANIE",
        "middle_name": "E.",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2024-05-10",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW127675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024157870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, PA

Sources for this page

Verify at the official NPI Registry.