NPI 1104131580 · live from the CMS NPI Registry
Stacy A. Bania, MA
Social Worker, Clinical in West Grove, PA. National Provider Identifier 1104131580, active.
NPI record
| NPI | 1104131580 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 281 E Evergreen St, West Grove, PA 19390 |
| Practice phone | 610-234-2913 |
| Enumerated | August 10, 2010 |
| Last updated | August 7, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Social Worker, Clinical primary | 1041C0700X | CW019997 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.