Individual provider Active NPI

Alissa Lynn Del Grosso, LCSW, MSW

  • Clinical Social Worker
  • Havertown, PA
National Provider Identifier
1063162162
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023480 Issued in PA
Practice address
1120 W Township Line Rd Ste 101
Havertown, PA 19083-4930
Phone
(610) 708-0721
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW023480 PA Primary

Addresses

Primary practice location

1120 W Township Line Rd Ste 101
Havertown, PA 19083-4930

Mailing address

101 Parkview Cir
Media, PA 19063-6318
Phone (484) 557-8004

Other practice location 1

100 W Sixth St Ste 305
Media, PA 19063-2428
Phone (484) 445-4147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821002120 PA Practitioner - Clinical Social Worker 3173061116 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dtap Mental Health Services LLC Multi-Specialty CurrentSince Sep 3, 2024 Accepting new patients

Locations

1120 W Township Line Rd
Ste 101
Havertown, PA 19083
Phone (267) 571-0383

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1063162162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PARKVIEW CIR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190636318",
            "telephone_number": "484-557-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W TOWNSHIP LINE RD STE 101",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834930",
            "telephone_number": "610-708-0721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Sixth St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190632428",
            "country_code": "US",
            "telephone_number": "484-445-4147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL GROSSO",
        "first_name": "ALISSA",
        "middle_name": "LYNN",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.