Individual provider Active NPI

Stephanie Helen Azarcon, LCSW

  • Clinical Social Worker
  • Butler, PA
National Provider Identifier
1477096071
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019274 Issued in PA
Practice address
216 N Washington St
Butler, PA 16001-5241
Phone
(724) 284-6266
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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 CW019274 PA Primary

Addresses

Primary practice location

216 N Washington St
Butler, PA 16001-5241

Mailing address

114 Holland Dr
Butler, PA 16002-7564
Phone (724) 713-7174

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
I20220103001144 PA Practitioner - Clinical Social Worker 1658762596 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019274PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Advanced Practice Providers Clinical CurrentSince Dec 1, 2021 Accepting new patients
Upmc Advanced Practice Providers Current Accepting new patients
Robyn Crouch, LLC Past Accepting new patients

Locations

200 Lothrop St
Ste 10055B
Pittsburgh, PA 15213
Phone (412) 864-0594

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

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": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1477096071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HOLLAND DR",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160027564",
            "telephone_number": "724-713-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N WASHINGTON ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015241",
            "telephone_number": "724-284-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZARCON",
        "first_name": "STEPHANIE",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.