KATHERINE DESTEFANO LCSW
NPI 1669997649
Social Worker - Clinical in Dunmore, PA

Q: What is Katherine Destefano's NPI number?

The NPI number for Katherine Destefano is 1669997649. It was assigned to this individual provider in the NPPES registry on August 10, 2017.

Q: What is Katherine Destefano's specialty?

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

Active since August 10, 2017PECOS EnrolledAccepts Medicare Assignment

502 N BLAKELY ST, DUNMORE, PA 18512(570) 342-8434(570) 342-7446 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 10, 2017 (2 updates tracked since 2017).

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About Katherine Destefano Lcsw NPPES

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

KATHERINE DESTEFANO LCSW (NPI 1669997649) is an individual clinical provider in Dunmore, Pennsylvania, licensed in Pennsylvania (CW021790) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669997649

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATHERINE DESTEFANOCredential: LCSW

Location Address502 N BLAKELY STDunmore, PA 18512-1943

Mailing Address1251 Wyoming AveExeter, PA 18643-1434 · (570) 342-8434 · Fax (570) 299-2521

Phone(570) 342-8434

Fax(570) 342-7446

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 10, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

NPPES CertifiedJuly 19, 2022

✔ NPI 1669997649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in PA · CW021790

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.

Also ListedSocial WorkerTaxonomy 104100000X · License SW134648 (PA)

502 N BLAKELY ST, Dunmore, PA 18512

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Secondary Practice Locations 6

Location 1326 Adams AveScranton, PA 18503-1604 · Phone (570) 348-6100 ext. 3238

Location 2470 Wyoming AveKingston, PA 18704-3603 · Phone (570) 342-8434 · Fax (570) 288-1084

Location 31031 Main StPeckville, PA 18452-2103 · Phone (570) 342-8434 · Fax (570) 291-4960

Location 41251 Wyoming AveExeter, PA 18643-1434 · Phone (570) 342-8434 · Fax (570) 299-2521

Location 5644 Germantown Pike Ste 2BLafayette Hill, PA 19444-1619 · Phone (570) 342-8434 · Fax (570) 299-2521

Location 6406 N State StClarks Summit, PA 18411-1062 · Phone (570) 342-8434 · Fax (570) 342-7446

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Katherine Destefano 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 ID4880076348

PECOS Enrollment IDI20220729001966

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18512 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 20

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

MS. JOANNE DONATO-POPKO LCSW

Social Worker (Clinical)