Paula Ann Stahl, MSW, LCSW, CCTP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW130910 Issued in PA

Practice address

1993 Cato Ave
State College, PA 16801-2754

Phone

(814) 231-8820

Fax

(814) 231-8857

NPI assigned

Apr 30, 2014

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

• Paula Ann Wilson Professional name

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Willow Springs Counseling LLC

  • Clinical Social Worker
  • Bellefonte, PA
  • NPI 1902375157
  Medicare reassignment NPD Authorized official
• A Journey to You...LLC

  • Professional Counselor
  • State College, PA
  • NPI 1407270234
  Medicare reassignment
• Integrative Health Care Associates

  • Chiropractor
  • State College, PA
  • NPI 1619108610
  NPD
• Centre Psychology Group

  • Clinical Neuropsychologist
  • State College, PA
  • NPI 1942279922
  NPD (past)

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1811307747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 CATO AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012754",
            "telephone_number": "814-231-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 CATO AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012754",
            "telephone_number": "814-231-8820",
            "fax_number": "814-231-8857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Rothermel Dr",
            "address_purpose": "LOCATION",
            "city": "Yeagertown",
            "state": "PA",
            "postal_code": "170999707",
            "country_code": "US",
            "telephone_number": "717-248-8197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "CW019719",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "WILSON",
            "middle_name": "ANN",
            "credential": "MSW, LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Evan Spencer
• Douglas Alan Spotts, M.D.
• David Sprague
• Phyllis C Stackhouse, CRNP
• Karli Nicole Stager, PT, DPT
• Alyssa Stahly, PTA
• Katharine Staley, PH.D.
• Linda Stanger, LCSW
• Jaclyn Brooke Stanley, M.S., ATC
• Annie Marie Stapelfeld, PAC

• Social Worker in State College, PA
• Providers in State College, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.