Organization Active NPI

Multipath Counseling

  • Clinical Social Worker
  • Hermitage, PA
National Provider Identifier
1982200937
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MULTIPATH COUNSELING
Practice address
3755 E State St # 5
Hermitage, PA 16148-3410
Phone
(724) 977-9025
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Stacey Laverock, LCSWNPI 1861881492
Title
Owner/Provider
Phone
(724) 977-9025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3755 E State St # 5
Hermitage, PA 16148-3410

Mailing address

919 Theresa Ave
Hermitage, PA 16148-2808
Phone (724) 977-9025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210505001909 PA Part B Supplier - Clinic/Group Practice 9638588536 Receives reassigned benefits from 1 practitioner
Practice locations: Hermitage, PA

National Provider Directory

National Provider Directory

Locations

3755 E State St
Ste 5
Hermitage, PA 16148
Phone (724) 977-9025

3755 E State St
#5
Hermitage, PA 16148
Phone (724) 977-9025

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1982200937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 THERESA AVE",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482808",
            "telephone_number": "724-977-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 E STATE ST # 5",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483410",
            "telephone_number": "724-977-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTIPATH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "LAVEROCK",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "724-977-9025",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.