MICHAEL J DESTEFANO (NPI# 1972536712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972536712 |
| Entity Type | Individual |
| Full Name | MICHAEL J DESTEFANO |
| Credential | LCSW |
| Practice Address |
110 Lincoln Street Ridgway PA 15853 |
| Practice Telephone | 8147760250 |
| Practice Fax Number | 8147761470 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CS000240L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873369 | Michael Destefano | Physical Therapy Assistant | 6010 Bay Pkwy Fl 1, Brooklyn, NY 11204-6079 | 2020-05-27 |
| 1407200116 | Michael Destefano | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2016-04-19 |
| 1982972378 | Michael A Destefano | Psychologist | 14 S Bryn Mawr Ave, Suite 205, Bryn Mawr, PA 19010-3216 | 2011-12-13 |
| 1326369943 | Michael William Destefano | Radiology | 1 Cooper Plz, Camden, NJ 08103 | 2010-06-17 |
| 1295912988 | Michael G Destefano | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2008-01-25 |
| 1588796320 | Michael Don Destefano | Pediatrics | 7000 W 111th St, Worth, IL 60482-1851 | 2007-03-09 |
| 1609864040 | Michael Joseph Destefano | Obstetrics & Gynecology | 100 Navarre Pl, Ste. 4470, South Bend, IN 46601-1156 | 2005-10-10 |
| Street Address |
110 LINCOLN STREET |
| City | RIDGWAY |
| State | PA |
| Zip Code | 15853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689605107 | David J Webster | Social Worker | 110 Lincoln Street, Ridgway, PA 15853 | 2006-07-05 |
| 1780615161 | Ellen Anne Taylor | Registered Nurse | 110 Lincoln Street, Ridgway, PA 15853 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730628561 | Alex Brazinski | Acupuncturist | 324 South Street, Ridgway, PA 15853 | 2017-02-13 |
| 1659608982 | Fernan Family Practice | Family Medicine | 200 S. Mill St., Ridgway, PA 15853 | 2009-11-06 |
| 1245455591 | Warren Henry Riegel | Optometrist | 14 S Mill Ave, Ridgway, PA 15853 | 2007-04-13 |
| 1750418554 | Dickinson Center, Inc | Case Management | 43 Servidea, Ridgway, PA 15853 | 2007-02-27 |
| 1538214473 | Charles P Bender | Chiropractor | 1139 Montmorenci Rd, Ridgway, PA 15853 | 2007-01-23 |
| 1164503322 | Dickinson Center, Inc | Community/Behavioral Health | 43 Servidea Drive, Ridgway, PA 15853 | 2006-10-17 |
| 1982651519 | Ridgway Area School District | Local Education Agency (LEA) | 62 School Drive, Ridgway, PA 15853 | 2006-05-28 |
| 1982668885 | Elk Regional Professional Group, Inc. | Anesthesiology | 104 Metoxet Street, Ridgway, PA 15853 | 2006-04-17 |
| 1194707992 | Ridgway Ambulance Corporation | Ambulance | 120 North Broad Street, Ridgway, PA 15853 | 2005-11-17 |
| 1770584070 | Kathleen M Fernan | Family Medicine | 200 South Mill Street, Ridgway, PA 15853 | 2005-08-09 |
| Find all providers in zip 15853 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457437212 | John R Michalowski | Social Worker | 9 S Mill Ave Apt 3, Ridgway, PA 15853-1043 | 2006-10-27 |
| 1689605107 | David J Webster | Social Worker | 110 Lincoln Street, Ridgway, PA 15853 | 2006-07-05 |
| 1801365333 | Joleen Grolemund | Social Worker | 43 Servidea Dr, Ridgway, PA 15853-6333 | 2018-11-14 |
| 1225558471 | Kristen Williams | Social Worker | 43 Servidea Dr, Ridgway, PA 15853-6333 | 2017-06-20 |
| 1982073953 | Tonya Wolfe | Social Worker | 43 Servidea Dr, Ridgway, PA 15853-6333 | 2015-09-21 |
| 1063723393 | Angela Nikol Chew | Social Worker | 110 Lincoln St, Ridgway, PA 15853-1939 | 2010-07-01 |
| 1942485057 | Joseph Edward Sherry | Social Worker | 110 Lincoln St, Ridgway, PA 15853-1939 | 2008-01-08 |
| 1235157090 | John W Yates | Social Worker | 110 Lincoln St, Ridgway, PA 15853-1939 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619798 | Kealsey Brennan Beecham | Social Worker | 9071 Mill Creek Rd Apt 2411, Levittown, PA 19054-4233 | 2020-11-07 |
| 1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
| 1326649963 | Sarah Michelle Waxman | Social Worker | 2550 Grays Ferry Ave, Philadelphia, PA 19146-2331 | 2020-11-02 |
| 1992305478 | Christina Lynn Watson | Social Worker | 939 Bayridge Ave, Pittsburgh, PA 15226-2133 | 2020-10-26 |
| 1992304455 | Sarah B Matas | Social Worker | 434 Kennett Pike, Chadds Ford, PA 19317-9383 | 2020-10-25 |
| 1023617743 | Cody Forsythe | Social Worker | 147 N 5th St Ste 2, Reading, PA 19601-3494 | 2020-10-23 |
| 1467051540 | Maya Cox | Social Worker | 4045 Green St, Philadelphia, PA 19104-1759 | 2020-10-20 |
| 1790384147 | Julie Adelle Figueroa | Social Worker | 301 Washington St Apt 1313, Conshohocken, PA 19428-4010 | 2020-10-17 |
| 1265030712 | Samantha Barley | Social Worker | 16055 Perry Hwy Bldg 3, Wexford, PA 15090-6885 | 2020-10-15 |
| 1346848165 | Lianne Glaus Vighetti | Social Worker | 624 Deer Watch Rd, Bridgeville, PA 15017-1148 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.