Individual provider Active NPI

Susan M Stay, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1336239573
Registry record updated Dec 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW14580 Issued in PA
Practice address
470 Streets Run Rd
Suite 402
Pittsburgh, PA 15236-2023
Phone
(412) 653-7829
Fax
(412) 653-7828
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2015

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 CW14580 PA Primary

Addresses

Primary practice location

470 Streets Run Rd
Suite 402
Pittsburgh, PA 15236-2023

Mailing address

470 Streets Run Rd
Suite 402
Pittsburgh, PA 15236-2023
Phone (412) 653-7829

Other identifiers 4

IdentifierTypeStateIssuer
342143OtherPAMNH
11625443OtherPACQHQ
296292000OtherPAMAGELLAN
556099OtherPAHIGHMARK BC/BS

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
I20040209000170 PA Practitioner - Clinical Social Worker 5799678181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stay Counseling Center, LLCGroup PAC ID 5597936880, 3 clinicians

Practice addresses (Care Compare)

300 Weyman Rd
Suite 230
Pittsburgh, PA 15236-1520
Phone (412) 653-7829

470 Streets Run Rd
Suite 402
Pittsburgh, PA 15236-2073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW14580PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stay Counseling Center, LLC Clinical CurrentSince May 19, 2011 Accepting new patients
Turtle Creek Valley MH Mr Inc Past Accepting new patients
Turtle Creek Valley Mental Health Mental Retardation Inc Past Accepting new patients

Locations

470 Streets Run Rd
Ste 402
Pittsburgh, PA 15236
Phone (412) 267-7211

Organizations & group practices 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449273600000",
    "number": "1336239573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 STREETS RUN RD",
            "address_2": "SUITE 402",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152362023",
            "telephone_number": "412-653-7829",
            "fax_number": "412-653-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 STREETS RUN RD",
            "address_2": "SUITE 402",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152362023",
            "telephone_number": "412-653-7829",
            "fax_number": "412-653-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAY",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW14580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNH",
            "identifier": "342143",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CQHQ",
            "identifier": "11625443",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "296292000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "556099",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.