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DEBRA M STAMBAUGH LCSW
NPI 1285917294
Social Worker - Clinical in York, PA

Active since September 26, 2011PECOS EnrolledAccepts Medicare Assignment
2550 KINGSTON RD STE 211, YORK, PA 17402(717) 755-5736 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Debra M Stambaugh Lcsw NPPES

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

DEBRA M STAMBAUGH LCSW (NPI 1285917294) is an individual clinical provider in York, Pennsylvania, licensed in Pennsylvania (SW128996) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in York, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1285917294
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEBRA M STAMBAUGHCredential: LCSW
Location Address2550 KINGSTON RD STE 211York, PA 17402
Mailing Address1755 Oregon Pike Ste 200Lancaster, PA 17601-4272 · (717) 581-5255 · Fax (717) 581-5259
Phone(717) 755-5736
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 26, 2011
Last NPPES UpdateOctober 9, 2018
✔ NPI 1285917294 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 · SW128996
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.
2550 KINGSTON RD STE 211, York, PA 17402
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Secondary Practice Location 1

Location 1807 S George StYork, PA 17403-3158 · Phone (717) 843-6561 · Fax (717) 845-6941

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans, Providence Health Plan, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Debra M Stambaugh Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123304243
PECOS Enrollment IDI20221005001297
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
315 services19 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
27 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17402 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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

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

DR. ELISA JOY SEIBERT PH.D., M.DIV.
Psychologist (Counseling)
2550 KINGSTON RD STE 211
YORK, PA 17402
York County (717) 755-5736

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 Debra Stambaugh's NPI number?

The NPI number for Debra Stambaugh is 1285917294. It was assigned to this individual provider in the NPPES registry on September 26, 2011.

Where is Debra Stambaugh located?

Debra Stambaugh practices at 2550 Kingston Rd Ste 211, York, PA 17402. The listed phone number is (717) 755-5736.

What is Debra Stambaugh's specialty?

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

Is Debra Stambaugh enrolled in Medicare?

Yes. Debra Stambaugh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Debra Stambaugh accept?

Health plans from MercyCare Health Plans, Providence Health Plan and Quartz list Debra Stambaugh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Debra Stambaugh was last updated on October 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.