Active NPI
Stephanie K Marugg, LCSW
- Clinical Social Worker
- Hermitage, PA
National Provider Identifier
1285078303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019295
- Practice address
- 3755 E State St Ste 6
Hermitage, PA 16148-3410 - Phone
- (724) 503-6678
- NPI assigned
- Apr 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW019295 | PA | Primary |
Addresses
Primary practice location
3755 E State St Ste 6
Hermitage, PA 16148-3410
Mailing address
3755 E State St Ste 6
Hermitage, PA 16148-3410
Phone (724) 503-6678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103005550 | Medicaid | PA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3755 E State St
Suite 6
Hermitage, PA 16148-3410
Phone (724) 734-6310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW019295 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Renewal Therapy, LLC | Clinical | Current | Accepting new patients |
Locations
3755 E State St
Ste 6
Hermitage, PA 16148
Phone (724) 503-6678
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Hermitage, PA
- NPI 1356012066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1285078303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3755 E STATE ST STE 6",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483410",
"telephone_number": "724-503-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 E STATE ST STE 6",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483410",
"telephone_number": "724-503-6678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARUGG",
"first_name": "STEPHANIE",
"middle_name": "K",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-19",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW019295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103005550",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.