Individual provider Active NPI

Stephanie Simon-Dowling, LCSW

  • Clinical Social Worker
  • Honesdale, PA
National Provider Identifier
1316463573
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021062 Issued in PA
Practice address
951 Main St
Honesdale, PA 18431-1903
Phone
(570) 280-6321
Fax
(272) 216-8433
NPI assigned
Aug 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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 CW021062 PA Primary

Addresses

Primary practice location

951 Main St
Honesdale, PA 18431-1903

Mailing address

714 Susquehanna St
Forest City, PA 18421-1032
Phone (570) 335-6674

Other names 1

  • Stephanie Simon Former name

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
I20250502000207 PA Practitioner - Clinical Social Worker 1456877489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Light CounselingGroup PAC ID 5496271520, 2 clinicians

Practice addresses (Care Compare)

951 Main St
Honesdale, PA 18431-1903
Phone (570) 280-6321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW021062PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Light Counseling CurrentSince Mar 29, 2025 Accepting new patients

Locations

951 Main St
Honesdale, PA 18431
Phone (570) 280-6321

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": "1503100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1316463573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 SUSQUEHANNA ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211032",
            "telephone_number": "570-335-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MAIN ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311903",
            "telephone_number": "570-280-6321",
            "fax_number": "272-216-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON-DOWLING",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-19",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SIMON",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.