Stango Therapeutic Solutions LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017967 Issued in PA

Legal business name

STANGO THERAPEUTIC SOLUTIONS LLC

Practice address

24 Veterans SQ
Media, PA 19063-3155

Phone

(610) 548-5278

NPI assigned

Aug 18, 2018

Organization subpart

No

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

Authorized official

Name

Gina Marie Mattivi Stango, MSW, LCSWNPI 1205231842

Title

Owner/Therapist

Phone

(484) 444-2905

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Marie Mattivi Stango, LCSW

  • Clinical Social Worker
  • Media, PA
  • NPI 1205231842
  NPD Authorized official

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534550400000",
    "number": "1881174951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BARRY LN",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866402",
            "telephone_number": "484-444-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 VETERANS SQ",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633155",
            "telephone_number": "610-548-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANGO THERAPEUTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-18",
        "last_updated": "2018-08-18",
        "status": "A",
        "authorized_official_last_name": "STANGO",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE MATTIVI",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "484-444-2905",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Rehabilitation Associates, LLC
• Paakhi Srivastava, PH.D
• Stacey Baratz Shapiro, LCSW, LLC
• Amanda Stahl Piraino, DO
• Renee Kathleen Staiber, OTR/L, ATP
• Gina Marie Mattivi Stango, LCSW
• Jason Stansberry, LPC, NCC
• Star Community Support Services
• Ayana Starks
• Kenneth John Stebner

• Clinical Social Worker in Media, PA
• Providers in Media, 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 Aug 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.