Active NPI
Sarestelle Delong, MSW
- Clinical Social Worker
- Wheeling, WV
National Provider Identifier
1073783981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00942398
- Practice address
- 2000 Eoff St
Wheeling, WV 26003-3823 - Phone
- (304) 234-1850
- Fax
- (304) 234-8159
- NPI assigned
- Mar 6, 2008
- 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 | DP00942398 | WV | Primary |
Addresses
Primary practice location
2000 Eoff St
Wheeling, WV 26003-3823
Mailing address
2000 Eoff St
Wheeling, WV 26003-3823
Phone (304) 234-1850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP00942398 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clara Martin Center | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Randolph, VT
- NPI 1548060015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1073783981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033823",
"telephone_number": "304-234-1850",
"fax_number": "304-234-8159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033823",
"telephone_number": "304-234-1850",
"fax_number": "304-234-8159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELONG",
"first_name": "SARESTELLE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00942398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.