Active NPI
Alissa Lynn Del Grosso, LCSW, MSW
- Clinical Social Worker
- Havertown, PA
National Provider Identifier
1063162162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW023480
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dtap Mental Health Services LLC | Multi-Specialty | Current | 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.
-
- Mental Health Counselor
- Havertown, PA
- NPI 1518737824
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.