Individual provider Active NPI

Stacey Louise Wurst, LCSW

  • Clinical Social Worker
  • Sewickley, PA
National Provider Identifier
1760089221
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023466 Issued in PA
Practice address
111 Hazel LN Ste 300
Sewickley, PA 15143-1253
Phone
(412) 749-7330
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 CW023466 PA Primary

Addresses

Primary practice location

111 Hazel LN Ste 300
Sewickley, PA 15143-1253

Mailing address

220 Chestershire Dr
Oakdale, PA 15071-9467
Phone (724) 809-4506

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swurst@hvhs.org Health Information Exchange (HIE)

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
I20230503000147 PA Practitioner - Clinical Social Worker 7618332313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Wellness Center IncGroup PAC ID 4789076761, 8 clinicians

Practice addresses (Care Compare)

265 3Rd St
FL 2
Beaver, PA 15009-2350
Phone (724) 371-0177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW023466PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Wellness Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Find Your Grace Counseling Co. PastSince Jan 29, 2023 Accepting new patients
Trotter Therapy Services, LLC PastSince Jun 1, 2024 Accepting new patients

Locations

265 3rd St
#2
Beaver, PA 15009
Phone (724) 371-0177

1000 Cliffmine Rd
Ste 130
Pittsburgh, PA 15275
Phone (412) 925-2910

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1760089221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHESTERSHIRE DR",
            "city": "OAKDALE",
            "state": "PA",
            "postal_code": "150719467",
            "telephone_number": "724-809-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HAZEL LN STE 300",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431253",
            "telephone_number": "412-749-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURST",
        "first_name": "STACEY",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swurst@hvhs.org",
            "affiliation": "N",
            "endpointDescription": "Practice Location Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "111 Hazel Ln Ste 300",
            "city": "Sewickley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151431253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.