Denise C. Wall, LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0000304 Issued in DE

Legal business name

DENISE C. WALL, LCSW LLC

Practice address

610 Main St
Odessa, DE 19730-2012

Phone

(302) 376-5259

Fax

(302) 689-4474

NPI assigned

Mar 19, 2013

Last updated

Mar 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Denise Cecilia Wall, LCSW

Title

Psycho Therapist

Phone

(302) 376-5259

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Jean Slaughter, LCSW, CAADC

  • Clinical Social Worker
  • Townsend, DE
  • NPI 1326587957
  NPD (past)

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1063754877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "ODESSA",
            "state": "DE",
            "postal_code": "197300514",
            "telephone_number": "302-376-5259",
            "fax_number": "302-689-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MAIN ST",
            "city": "ODESSA",
            "state": "DE",
            "postal_code": "197302012",
            "telephone_number": "302-376-5259",
            "fax_number": "302-689-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE C. WALL, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "PSYCHO THERAPIST",
        "authorized_official_telephone_number": "302-376-5259",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000032277",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1093814972",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "1041C0700X",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Nicole Daly, OTR/L
• Caitlin Davis, COTA/L
• Christine Davis
• Lindsey Davis, RN
• Alexis Deionno, ED. S.
• Jordan Dilts
• Elizabeth Denise Dowell, COTA/L
• Ashley Doyle, FNP-BC
• Phillip G. Ealy
• Cassidy Edmondson, ED.S., NCSP

• Clinical Social Worker in Odessa, DE
• Providers in Odessa, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.