Individual provider Active NPI

Stephanie K Marugg, LCSW

  • Clinical Social Worker
  • Hermitage, PA
National Provider Identifier
1285078303
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019295 Issued in PA
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

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103005550MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170509000059 PA Practitioner - Clinical Social Worker 8325325988 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
CW019295PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Renewal Therapy, LLC Clinical CurrentSince Nov 1, 2021 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.

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

Verify at the official NPI Registry.