Active NPI
Stephanie Chapman Waters, L.S.W.
- Social Worker
- Clarks Summit, PA
National Provider Identifier
1922469345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW133060
- Practice address
- 406 N State St
Clarks Summit, PA 18411-1062 - Phone
- (570) 342-8434
- Fax
- (570) 319-5949
- NPI assigned
- Mar 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW133060 | PA | Primary |
Addresses
Primary practice location
406 N State St
Clarks Summit, PA 18411-1062
Mailing address
406 N State St
Clarks Summit, PA 18411-1062
Phone (570) 342-8434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW133060 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling & Wellness Center of Scranton LLC | Past | Accepting new patients | |
| Tiffany Griffiths Psy D & Associates Inc | Social Worker | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Scranton, PA
- NPI 1992118111
-
- Clinical Psychologist
- Dunmore, PA
- NPI 1649507831
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457740800000",
"number": "1922469345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 N STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111062",
"telephone_number": "570-342-8434",
"fax_number": "570-319-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 N STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111062",
"telephone_number": "570-342-8434",
"fax_number": "570-319-5949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "STEPHANIE",
"middle_name": "CHAPMAN",
"name_prefix": "Mrs.",
"credential": "L.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-12",
"last_updated": "2016-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW133060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.