Kelly Stangl Meddaugh, CW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013798 Issued in PA

Practice address

550 Pinetown Rd
Suite 210
Ft Washington, PA 19034-2605

Phone

(215) 643-0200

Fax

(215) 643-9844

NPI assigned

Feb 9, 2007

Last updated

May 13, 2016By the provider in NPPES

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 identifiers 3

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restoration and Wellness LLC

  • Adult Mental Health Clinic/Center
  • Fort Washington, PA
  • NPI 1770172033
  Medicare reassignment NPD
• Advanced Behavioral Health Treatment Center, Inc.

  • Psychiatry Physician
  • Limerick, PA
  • NPI 1619379211
  NPD
• Ron Lewis Associates

  • Psychiatry Physician
  • Flourtown, PA
  • NPI 1396847992

  Clinical

  NPD (past)
• Ultracare Anesthesia Partners LLC

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1407236110
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1265573596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CHESTNUT ST",
            "address_2": "SUITE #2",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194682160",
            "telephone_number": "610-948-2200",
            "fax_number": "610-948-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PINETOWN RD",
            "address_2": "SUITE 210",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190342605",
            "telephone_number": "215-643-0200",
            "fax_number": "215-643-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGL MEDDAUGH",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "CW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7798213",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2321511000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "344582000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Thomas Soltner, DO
• Josephine A Southwick, BCBA
• Special Care Hospice LLC (Life Choice Hospice)
• Madeleine Adele Spencer, DPT
• Camille St. James, PSYD
• Lisa J Steiker, R.N., M.S.N., C.N.S.
• Kelly McCann Stengel, MSN, CRNP
• Svetlana Stepanskiy, PHARMD
• Dona Stephens
• Kaley Marie Stinson, PT, DPT

• Clinical Social Worker in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.