KATHERINE DESTEFANO (LCSW) – Clinical Social Worker, NPI 1669997649

KATHERINE DESTEFANO (LCSW) is a healthcare provider. based in Scranton, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW134648 (PA). The NPI Number for KATHERINE DESTEFANO (LCSW) is 1669997649

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE DESTEFANO (LCSW)
NPI
1669997649
Phone
(570) 348-6100
Address
326 Adams Ave
Enumeration Date
10 August 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5703428434
Graduation Year
2015 (11 years ago)
PAC ID
4880076348
Group Practice PAC ID
5496907776
Professional Enrollment ID
I20220729001966
Address ID
PA185121943DU502XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for KATHERINE DESTEFANO (LCSW)

  • 326 Adams Ave

    Scranton, PA 185031604

    Phone: (570) 348-6100

    Type: Location

  • 470 Wyoming Ave

    Kingston, PA 187043603

    Phone: (570) 342-8434

    Fax: (570) 288-1084

    Type: Location

  • 1031 Main St

    Peckville, PA 184522103

    Phone: (570) 342-8434

    Fax: (570) 291-4960

    Type: Location

  • 1251 Wyoming Ave

    Exeter, PA 186431434

    Phone: (570) 342-8434

    Fax: (570) 299-2521

    Type: Location

  • 644 Germantown Pike Ste 2B

    Lafayette Hill, PA 194441619

    Phone: (570) 342-8434

    Fax: (570) 299-2521

    Type: Location

  • 406 N State St

    Clarks Summit, PA 184111062

    Phone: (570) 342-8434

    Fax: (570) 342-7446

    Type: Location

  • Scranton Counseling Center, 326, Adams Avenue, Downtown, Scranton, Lackawanna County, Pennsylvania, 18503, United States

    SCRANTON, PA 185031604

    Phone: (570) 348-6100

    Type: Mailing

  • 1251 WYOMING AVE

    EXETER, PA 186431434

    Phone: (570) 342-8434

    Fax: (570) 299-2521

    Type: Mailing

  • 502 N BLAKELY ST

    DUNMORE, PA 185121943

    Phone: (570) 342-8434

    Fax: (570) 342-7446

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220729001966IClinical Social WorkerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496907776View full group profile
NameSpecialtyState
Mental Health CounselorPA
-PA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
Clinical PsychologistPA
Mental Health CounselorPA
-PA
Mental Health CounselorPA
Mental Health CounselorPA

Reviews

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Frequently asked questions

What NPI should I save for KATHERINE DESTEFANO (LCSW)?
Save NPI 1669997649 if you need a stable reference for KATHERINE DESTEFANO (LCSW).
Is KATHERINE DESTEFANO (LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KATHERINE DESTEFANO (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for KATHERINE DESTEFANO (LCSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHERINE DESTEFANO (LCSW)?
The page summarizes Scranton, Pennsylvania for KATHERINE DESTEFANO (LCSW); expand the address list for detail.
How can I contact KATHERINE DESTEFANO (LCSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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