Organization Active NPI

Stacey Baratz Shapiro, LCSW, LLC

  • Clinical Social Worker
  • Media, PA
National Provider Identifier
1396778395
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014535 Issued in PA
Legal business name
STACEY BARATZ SHAPIRO, LCSW, LLC
Practice address
602 E Baltimore Pike
Media, PA 19063-1735
Phone
(610) 608-2960
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Stacey Baratz Shapiro, LCSW
Title
Manager
Phone
(610) 608-2960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW014535 PA Primary

Addresses

Primary practice location

602 E Baltimore Pike
Media, PA 19063-1735

Mailing address

602 E Baltimore Pike
Media, PA 19063-1735
Phone (610) 608-2960

National Provider Directory

National Provider Directory

Locations

602 E Baltimore Pike
Media, PA 19063
Phone (484) 444-2834

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1396778395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631735",
            "telephone_number": "610-608-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631735",
            "telephone_number": "610-608-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY BARATZ SHAPIRO, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "BARATZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-608-2960",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.