Dolores Degiacomo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

TPSW2746 Issued in FL

Practice address

2129 Aitkin Loop
Leesburg, FL 34748-2955

Phone

(917) 270-7027

NPI assigned

May 15, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1013444694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WEST SQ",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105133",
            "telephone_number": "917-270-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 AITKIN LOOP",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482955",
            "telephone_number": "917-270-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGIACOMO",
        "first_name": "DOLORES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05925300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW2746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Davis, PTA
• Clayton Scott Davis, LPTA
• Marlana Davis
• Tarson De Mesquita Passos, PT
• Deaf Services of Lake County, Inc.
• Jacqueline Christine Delaney, PTA
• Humberto R Delgado, M.D.
• Magaly Delgado, PSY.D.
• Demossis Haven
• Lorenza Marie Denby, RPH

• Clinical Social Worker in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.