Individual provider Active NPI

Debra M Stambaugh, LCSW

  • Clinical Social Worker
  • York, PA
National Provider Identifier
1285917294
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW128996 Issued in PA
Practice address
2550 Kingston Rd Ste 211
York, PA 17402
Phone
(717) 755-5736
NPI assigned
Sep 26, 2011
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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 SW128996 PA Primary

Addresses

Primary practice location

2550 Kingston Rd Ste 211
York, PA 17402

Mailing address

1755 Oregon Pike Ste 200
Lancaster, PA 17601-4272
Phone (717) 581-5255

Other practice location 1

807 S George St
York, PA 17403-3158
Phone (717) 843-6561

Other practice location 2

807 S George St
York, PA 17403-3158
Phone (717) 843-6561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170404000739 PA Practitioner - Clinical Social Worker 8123304243 Reassigns benefits to 1 organization
I20221005001297 IL Practitioner - Clinical Social Worker 8123304243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians
Anchor Health Counseling LLCGroup PAC ID 8729500327, 9 clinicians

Practice addresses (Care Compare)

1202 W Monroe St
FL 1
Chicago, IL 60607-2509
Phone (630) 517-2934

89 Evergreen CT
Deerfield, IL 60015-5066
Phone (773) 307-4501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW128996PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Consultants, P.C. Clinical CurrentSince Feb 27, 2017 Accepting new patients
Anchor Health Counseling LLC Clinical CurrentSince Jan 27, 2026 Accepting new patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Jan 1, 2023 Accepting new patients
Emdr Urban Healing Center LLC Clinical PastSince Nov 1, 2020 Accepting new patients
Rost & Associates Past Accepting new patients
Behavioral Healthcare Consultants Clinical PastSince Feb 27, 2017 Accepting new patients

Locations

1202 W Monroe St
Fl 1
Chicago, IL 60607
Phone (630) 517-2934

1500 W Chicago Ave
Unit 2
Chicago, IL 60642
Phone (773) 570-4220

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

1755 Oregon Pike
Ste 200
Lancaster, PA 17601
Phone (717) 581-5255

2550 Kingston Rd
Ste 211
York, PA 17402
Phone (717) 755-5736

Interoperability endpoints

  • Direct secure messaging: debra.stambaugh.1@25899.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1285917294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 OREGON PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014272",
            "telephone_number": "717-581-5255",
            "fax_number": "717-581-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 KINGSTON RD STE 211",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-755-5736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033158",
            "country_code": "US",
            "telephone_number": "717-843-6561",
            "fax_number": "717-845-6941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033158",
            "country_code": "US",
            "telephone_number": "717-843-6561",
            "fax_number": "717-845-6941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMBAUGH",
        "first_name": "DEBRA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW128996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.