Active NPI
Stephanie Simon-Dowling, LCSW
- Clinical Social Worker
- Honesdale, PA
National Provider Identifier
1316463573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW021062
- 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
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 | 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
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Counseling
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW021062 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Light Counseling | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.