Organization Active NPI

Diane Necastro LCSW LLC

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1063930956
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000379 Issued in DE
Legal business name
DIANE NECASTRO LCSW LLC
Practice address
1500 Shallcross Ave Ste 2
Wilmington, DE 19806-3037
Phone
(302) 379-8959
NPI assigned
Aug 31, 2017
Last updated
Mar 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Authorized official

Name
Diane Necastro, LCSWNPI 1255430393
Title
Owner
Phone
(302) 379-8959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0000379 DE Primary

Addresses

Primary practice location

1500 Shallcross Ave Ste 2
Wilmington, DE 19806-3037

Mailing address

1500 Shallcross Ave Ste 2
Wilmington, DE 19806-3037
Phone (302) 379-8959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171113002534 DE Part B Supplier - Clinic/Group Practice 7719243864 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

1500 Shallcross Ave
Ste 2
Wilmington, DE 19806
Phone (302) 379-8959

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1063930956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHALLCROSS AVE STE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063037",
            "telephone_number": "302-379-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHALLCROSS AVE STE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063037",
            "telephone_number": "302-379-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE NECASTRO LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "NECASTRO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-379-8959",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.