1710933569 NPI number — MS. CAROL ANN STENGER MSW LCSW BCD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710933569 NPI number — MS. CAROL ANN STENGER MSW LCSW BCD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STENGER
Provider First Name:
CAROL
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW LCSW BCD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710933569
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
963 SOUTH 5TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLARION
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16214-8619
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-226-9810
Provider Business Mailing Address Fax Number:
814-226-0205

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
963 SOUTH 5TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLARION
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16214-8619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-226-9810
Provider Business Practice Location Address Fax Number:
814-226-0205
Provider Enumeration Date:
05/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CW007115L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 214487 . This is a "MANAGED HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 304527 . This is a "UPMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: A128048 . This is a "VALUE BEHAVIORAL HEALTH &" identifier . This identifiers is of the category "OTHER".
  • Identifier: ST866641 . This is a "HIGHMARK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6522432 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01784925 . This is a "MEDICAL ASSISTANCE PA" identifier . This identifiers is of the category "OTHER".
  • Identifier: PO14479 . This is a "TRICARE STANDARD REGION 1" identifier . This identifiers is of the category "OTHER".
  • Identifier: 143715 . This is a "UNITED BEHAVIORAL HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 76699 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".




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