Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariah Stambaugh, LISW

Individual provider Social Worker · NPI 1902413529

Mariah Stambaugh, LISW is a Clinical Social Worker in Chardon, Ohio. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2020
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone: (440) 285-3568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2607862 (OH)
Social Worker Taxonomy 104100000X · Licence S.2001515-TRNE (OH)

Record details

NPI number1902413529
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedSeptember 28, 2020
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address12557 Ravenwood Dr, Chardon, OH 44024-9009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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