Stephanie L Faust, LCSW
Individual provider Active NPI Clinical Social Worker · Madera, PA
NPI 1265726293 · NPPES record last updated Jul 29, 2022
Key facts
- NPI
- 1265726293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CW018033 (PA)
- Practice address
- 72 Substation Rd
Madera, PA 16661-8912 - Phone
- (814) 577-0161
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140718001158 | PA | Practitioner - Clinical Social Worker | 1759507288 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW018033 | PA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
| Clearfield Hospital | Past | Accepting new patients | |
| Clearfield Hospital | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CW018033 | PA | |
| Social Worker | 104100000X | CW018033 | PA | |
| Clinical Social Worker | 1041C0700X | CW018033 | PA | Yes |
Addresses
Primary practice location
72 Substation Rd
Madera, PA 16661-8912
Mailing address
72 Substation Rd
Madera, PA 16661-8912
Phone (814) 577-0161
Other providers in Madera, PA
All providers in Madera, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.