Individual provider Active NPI

Christopher Lee Stough, LSW

  • Social Worker
  • White Oak, PA
National Provider Identifier
1871196667
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW132322 Issued in PA
Practice address
3025 Jacks Run Road
Parkside Building One Suite 5
White Oak, PA 15131-1513
Phone
(412) 385-7139
Fax
(412) 896-5451
NPI assigned
Nov 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW132322 PA Primary

Addresses

Primary practice location

3025 Jacks Run Road
Parkside Building One Suite 5
White Oak, PA 15131-1513

Mailing address

3025 Jacks Run Rd
Parkside Building One, Suite 5
White Oak, PA 15131-2549
Phone (412) 385-7139

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
I20250609000229 PA Practitioner - Clinical Social Worker 1658712450 Practice locations: McKeesport, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

633 Long Run Rd
Suite 104
McKeesport, PA 15132-7424
Phone (412) 385-7129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW132322PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Stough, LCSW CurrentSince Apr 2, 2024 Accepting new patients

Locations

633 Long Run Rd
Ste 104
McKeesport, PA 15132
Phone (412) 385-7129

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.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1871196667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 JACKS RUN RD",
            "address_2": "PARKSIDE BUILDING ONE, SUITE 5",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312549",
            "telephone_number": "412-385-7139",
            "fax_number": "412-896-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 JACKS RUN ROAD",
            "address_2": "PARKSIDE BUILDING ONE SUITE 5",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311513",
            "telephone_number": "412-385-7139",
            "fax_number": "412-896-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUGH",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

Verify at the official NPI Registry.