MARIAH STAMBAUGH LISW
NPI 1902413529
Social Worker - Clinical in Chardon, OH

Q: What is Mariah Stambaugh's NPI number?

The NPI number for Mariah Stambaugh is 1902413529. It was assigned to this individual provider in the NPPES registry on September 28, 2020.

Q: What is Mariah Stambaugh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mariah Stambaugh was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 28, 2020PECOS Enrolled

12557 RAVENWOOD DR, CHARDON, OH 44024(440) 285-3568 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2026, Sep 28, 2020 (2 updates tracked since 2020).

On this page

About Mariah Stambaugh Lisw NPPES

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

MARIAH STAMBAUGH LISW (NPI 1902413529) is an individual clinical provider in Chardon, Ohio, licensed in Ohio (I.2607862) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1902413529

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARIAH STAMBAUGHCredential: LISW

Location Address12557 RAVENWOOD DRChardon, OH 44024-9009

Mailing Address12557 Ravenwood DrChardon, OH 44024-9009 · (440) 285-3568

Phone(440) 285-3568

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 28, 2020

Last NPPES UpdateApril 7, 20262 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1902413529 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 OH · I.2607862

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 S.2001515-TRNE (OH)

12557 RAVENWOOD DR, Chardon, OH 44024

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariah Stambaugh Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062989791

PECOS Enrollment IDI20260429003880

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 44024 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 $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

KAILYN JOAN RATLIFF LPN

Licensed Practical Nurse