Provider Demographics
NPI:1821038605
Name:STIPE, ANN M (PHD, LCSW, CAC, RN)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:M
Last Name:STIPE
Suffix:
Gender:F
Credentials:PHD, LCSW, CAC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6340
Mailing Address - Fax:717-851-6349
Practice Address - Street 1:3550 CONCORD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8626
Practice Address - Country:US
Practice Address - Phone:717-851-6340
Practice Address - Fax:717-851-6349
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0124801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA228965000OtherMAGELLAN
PA275586OtherMAMSI
PA01096401OtherCAPITAL BLUE CROSS
PA124997OtherVALUE OPTIONS
PA687115OtherBC/BS OF MD. CARE FIRST
PA2025657OtherCIGNA BEHAVIORAL HEALTH
PA1342395OtherPABS (FEP ONLY)
PAS85838Medicare UPIN
PA2025657OtherCIGNA BEHAVIORAL HEALTH