Individual provider Active NPI

Briana Stairiker, LCSW

  • Clinical Social Worker
  • Drexel Hill, PA
National Provider Identifier
1386163038
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019641 Issued in PA
Practice address
2100 Keystone Ave
Drexel Hill, PA 19026-1129
Phone
(610) 284-0200
NPI assigned
Sep 13, 2017
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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 CW019641 PA Primary

Addresses

Primary practice location

2100 Keystone Ave
Drexel Hill, PA 19026-1129

Mailing address

2410 Hannum Ave
Holmes, PA 19043-1309

Other practice location 1

2000 Sproul Rd Ste 206
Broomall, PA 19008-3509
Phone (610) 284-0200

Other practice location 2

1021 W Baltimore Pike
Media, PA 19063-5101
Phone (610) 284-0200

Other practice location 3

2410 Hannum Ave
Holmes, PA 19043-1309
Phone (717) 870-6708

Other names 1

  • Miss Briana Good Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW019641PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital of Philadelphia PastSince Jul 17, 2022 Accepting new patients
Children's Hospital of Philadelphia PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 2

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1386163038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 HANNUM AVE",
            "city": "HOLMES",
            "state": "PA",
            "postal_code": "190431309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261129",
            "telephone_number": "610-284-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Sproul Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Broomall",
            "state": "PA",
            "postal_code": "190083509",
            "country_code": "US",
            "telephone_number": "610-284-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 W Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635101",
            "country_code": "US",
            "telephone_number": "610-284-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2410 Hannum Ave",
            "address_purpose": "LOCATION",
            "city": "Holmes",
            "state": "PA",
            "postal_code": "190431309",
            "country_code": "US",
            "telephone_number": "717-870-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAIRIKER",
        "first_name": "BRIANA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANA",
            "last_name": "GOOD",
            "prefix": "MISS",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.