Active NPI
Stephanie Riddle, LSW
- Social Worker
- Millersburg, PA
National Provider Identifier
1477245660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW140288
- Practice address
- 660 Rising Sun Rd
Millersburg, PA 17061-1245 - Phone
- (717) 362-8900
- Fax
- (717) 362-8910
- NPI assigned
- May 24, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW140288 | PA | Primary |
Addresses
Primary practice location
660 Rising Sun Rd
Millersburg, PA 17061-1245
Mailing address
660 Rising Sun Rd
Millersburg, PA 17061-1245
Phone (717) 362-8900
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW140288 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Counseling Services, PC | Current | Accepting new patients |
Locations
660 Rising Sun Rd
Millersburg, PA 17061
Phone (717) 362-8900
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.
-
- Professional Counselor
- Scranton, PA
- NPI 1326462599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1477245660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 RISING SUN RD",
"city": "MILLERSBURG",
"state": "PA",
"postal_code": "170611245",
"telephone_number": "717-362-8900",
"fax_number": "717-362-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 RISING SUN RD",
"city": "MILLERSBURG",
"state": "PA",
"postal_code": "170611245",
"telephone_number": "717-362-8900",
"fax_number": "717-362-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDLE",
"first_name": "STEPHANIE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW140288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Melise Mullins Rowan, D.P.T.
- Jennifer C Rudolph, DPT
- David Richard Russell, DMD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.