Nina Stare, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW124756 Issued in PA

Practice address

519 S 29TH St
Harrisburg, PA 17104-2106

Phone

(223) 322-7067

NPI assigned

Jul 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nina Lastort Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Commonwealth Clinical Group, Inc.

  • Community/Behavioral Health Agency
  • Harrisburg, PA
  • NPI 1306411210
  NPD
• Commonwealth Clinical Group, Inc.

  • Community/Behavioral Health Agency
  • Lancaster, PA
  • NPI 1023267473
  NPD (past)

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1225761695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S 29TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042106",
            "telephone_number": "717-649-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S 29TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042106",
            "telephone_number": "223-322-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARE",
        "first_name": "NINA",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW124756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nina.stare@ccgtherapy.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Commonwealth Clinical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "41 E Orange St",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176022846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "LASTORT",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tierra Stallings, LSW
• Hannah Nicole Standish, MS
• Stanley R. Goldman, M.D. and Associates
• Star Platinum Care Agency (spcastaffing)
• Gregory L Stare, B.S.
• Susan Kepler Stare, P.T.
• Michael Ivan Starling, BS
• Patrick Starsinic, D.O.
• Thomas John Staub, PTA
• Caitlin Maureen Stauffer, CRNP

• Social Worker in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.