DESE'RAE LYNN STAGE LCSW,MSW
NPI 1396484168
Social Worker in Philadelphia, PA

Active since June 01, 2022PECOS Enrolled
701 E CATHEDRAL RD STE 45-1395, PHILADELPHIA, PA 19128(267) 532-4494 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dese'rae Lynn Stage Lcsw,msw NPPES

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

DESE'RAE LYNN STAGE LCSW,MSW (NPI 1396484168) is an individual social worker in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW025097) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396484168
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDESE'RAE LYNN STAGECredential: LCSW,MSW
Location Address701 E CATHEDRAL RD STE 45-1395Philadelphia, PA 19128-2128
Mailing Address2310 Mercer StPhiladelphia, PA 19125-3625 · (646) 284-0618
Sole ProprietorNo
Enumeration DateJune 1, 2022
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
NPI 1396484168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in PA · CW025097
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
701 E CATHEDRAL RD STE 45-1395, Philadelphia, PA 19128

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dese'rae Lynn Stage Lcsw,msw 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.

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 Dese'rae Stage's NPI number?

The NPI number for Dese'rae Stage is 1396484168. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Dese'rae Stage located?

Dese'rae Stage practices at 701 E Cathedral Rd Ste 45-1395, Philadelphia, PA 19128. The listed phone number is (267) 532-4494.

What is Dese'rae Stage's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Dese'rae Stage enrolled in Medicare?

Yes. Dese'rae Stage is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dese'rae Stage was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.