Stacy Shuchter-Gomez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017547 Issued in PA

Practice address

555 2ND Ave
Building D - Suite 202
Collegeville, PA 19426-3600

Phone

(484) 973-6661

NPI assigned

Mar 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cornerstone Counseling and Wellness LLCGroup PAC ID 9133664626, 12 clinicians

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.

• Cornerstone Counseling and Wellness, LLC

  dba Cornerstone Therapy and Wellness

  • Mental Health Counselor
  • Malvern, PA
  • NPI 1750713889
  Medicare reassignment Care Compare group NPD
• Ramesh B Eluri MD PC

  • Psychiatry Physician
  • Royersford, PA
  • NPI 1871610956
  NPD (past)

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1871834937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650682",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113650682",
            "telephone_number": "516-924-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 2ND AVE",
            "address_2": "BUILDING D - SUITE 202",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263600",
            "telephone_number": "484-973-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUCHTER-GOMEZ",
        "first_name": "STACY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shailen R Shah, M.D.
• Shared Values
• Azalea A Sharifi, DMD
• Huaqiong Shen, MD, PHD
• Molly Elizabeth Shoemaker, DPT
• Kelly Reilley Shultz
• Eme Nelly Silva, DMD
• Ashley Simmons, MA
• Louis Joseph Simonetti Jr., D.O.
• Jessica Elaine Sinotte

• Clinical Social Worker in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.