Provider Demographics
NPI:1710933569
Name:STENGER, CAROL ANN (MSW LCSW BCD)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:ANN
Last Name:STENGER
Suffix:
Gender:F
Credentials:MSW LCSW BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:963 SOUTH 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-8619
Mailing Address - Country:US
Mailing Address - Phone:814-226-9810
Mailing Address - Fax:814-226-0205
Practice Address - Street 1:963 SOUTH 5TH AVE
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-8619
Practice Address - Country:US
Practice Address - Phone:814-226-9810
Practice Address - Fax:814-226-0205
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW007115L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
214487OtherMANAGED HEALTH NETWORK
304527OtherUPMC
A128048OtherVALUE BEHAVIORAL HEALTH &
ST866641OtherHIGHMARK
PA6522432Medicaid
01784925OtherMEDICAL ASSISTANCE PA
PO14479OtherTRICARE STANDARD REGION 1
143715OtherUNITED BEHAVIORAL HEALTH
76699OtherHEALTH AMERICA
304527OtherUPMC
S37868Medicare UPIN