| Mrs Gina Marie Mattivi Stango, LCSW | |
|
24 Veterans Sq, Media, PA 19063-3155 | |
| (610) 744-2526 | |
| (610) 514-9849 |
| Full Name | Mrs Gina Marie Mattivi Stango |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 24 Veterans Sq, Media, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205231842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW017967 (Pennsylvania) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gina Marie Mattivi Stango, LCSW 24 Veterans Sq, Media, PA 19063-3155 Ph: (610) 744-2526 | Mrs Gina Marie Mattivi Stango, LCSW 24 Veterans Sq, Media, PA 19063-3155 Ph: (610) 744-2526 |
Vinte Clemons, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 N Olive St, Media, PA 19063 Phone: 610-566-7540 | |
Krystalyn T Davis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1295 N Providence Rd Apt F015r, Media, PA 19063 Phone: 484-326-9733 | |
Cynthia Ann Mcpherson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 W State St, Media, PA 19063 Phone: 202-262-3114 | |
Jeanette Redmond, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 216 S Orange St, 439 South Ave., Media, PA 19063 Phone: 610-566-5886 Fax: 610-566-5886 | |
Wendi Haldeman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42 E Front St, Media, PA 19063 Phone: 610-627-9060 Fax: 610-892-2774 | |
Roynell Sanders, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 N Olive St, Media, PA 19063 Phone: 610-566-7540 Fax: 610-566-7677 | |
Ms. Marcy Jill Seminoff, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 113 N Olive St, Media, PA 19063 Phone: 610-328-6751 |