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MRS. GINA MARIE MATTIVI STANGO LCSW
NPI 1205231842
Social Worker - Clinical in Media, PA

Active since October 24, 2014PECOS Enrolled
24 VETERANS SQ, MEDIA, PA 19063(610) 744-2526(610) 514-9849 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Gina Marie Mattivi Stango Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GINA MARIE MATTIVI STANGO LCSW (NPI 1205231842) is an individual clinical provider in Media, Pennsylvania, licensed in Pennsylvania (CW017967) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1205231842
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. GINA MARIE MATTIVI STANGOCredential: LCSW
Location Address24 VETERANS SQMedia, PA 19063-3155
Mailing Address24 Veterans SqMedia, PA 19063-3155 · (610) 744-2526 · Fax (610) 514-9849
Phone(610) 744-2526
Fax(610) 514-9849
Sole ProprietorYes
Enumeration DateOctober 24, 2014
Last NPPES UpdateSeptember 19, 2018
✔ NPI 1205231842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW017967
Definition
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.
24 VETERANS SQ, Media, PA 19063
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Secondary Practice Location 1

Location 11233 Locust St, Suite 101Philadelphia, PA 19107-5453 · Phone (215) 525-8699

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Gina Marie Mattivi Stango Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gina Stango reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,014 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 833 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIE VADELLA RD, LDN
Dietitian, Registered
24 VETERANS SQ
MEDIA, PA 19063
Delaware County (814) 880-4039
REBECCA KILLION RD, LDN
Dietitian, Registered
24 VETERANS SQ
MEDIA, PA 19063
Delaware County (215) 431-8980
WALL TO WALL SPEECH THERAPY LLC
Speech-Language Pathologist
24 VETERANS SQ
MEDIA, PA 19063
Delaware County (302) 401-1121
SAMANTHA BLUJ RD, LDN
Dietitian, Registered
24 VETERANS SQ
MEDIA, PA 19063
Delaware County (610) 783-3600
MRC HEALTH GROUP LLC
Home Health
24 VETERANS SQ
MEDIA, PA 19063
Delaware County (610) 215-7228
CORE COUNSELING, PLLC
Community/Behavioral Health
24 VETERANS SQ
MEDIA, PA 19063
Delaware County (484) 441-3845
KIRA GRAVES ENTERPRISE LLC
Psychologist
24 VETERANS SQ
MEDIA, PA 19063
Delaware County (484) 440-9020
VANESSA KIMBERLY STEVENSON
Speech-Language Pathologist
24 VETERANS SQ
MEDIA, PA 19063
Delaware County (302) 401-1121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gina Stango's NPI number?

The NPI number for Gina Stango is 1205231842. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Gina Stango located?

Gina Stango practices at 24 Veterans Sq, Media, PA 19063. The listed phone number is (610) 744-2526.

What is Gina Stango's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gina Stango enrolled in Medicare?

Yes. Gina Stango is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gina Stango's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Stango reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gina Stango's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gina Stango was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.