Carol Anne Stange, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09827 Issued in MD

Practice address

11305 Marina Dr Apt 41
Berlin, MD 21811-9221

Phone

(410) 430-0727

Fax

(410) 548-9056

NPI assigned

May 3, 2007

Last updated

Sep 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carol Stange Professional name

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peninsula Mental Health Services

  • Counseling Psychologist
  • Salisbury, MD
  • NPI 1518039924
  NPD (past)
• Peninsula Mental Health Services

  • Addiction (Substance Use Disorder) Psychologist
  • Salisbury, MD
  • NPI 1952560989
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1770705097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11305 MARINA DR APT 41",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218119221",
            "telephone_number": "410-430-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11305 MARINA DR APT 41",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218119221",
            "telephone_number": "410-430-0727",
            "fax_number": "410-548-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGE",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09827",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "09827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "STANGE",
            "credential": "LLCSW-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kanwer Paul Singh Sran, DMD
• Srec Eye Surgery LLC
• Sri Ganesh Pharmacy Services LLC (Atlantic Discount Pharmacy)
• Hillary Lauber Stalknecht
• Gregory W Stamnas, MD
• Allison Staples, M.S. CCC-SLP
• Franko Stepcic, MD
• Michael Stivelman, M.D.
• Molly Stockfish
• Monica Stone, LCPC

• Clinical Social Worker in Berlin, MD
• Providers in Berlin, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.