Active NPI
Karen Marie Delillo
- Social Worker
- Port Washington, NY
National Provider Identifier
1083229850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 013294604
- Practice address
- 24 Wildwood GDNS Apt 1F
Port Washington, NY 11050-2330 - Phone
- (516) 578-8414
- NPI assigned
- Sep 9, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 088954 | NY | |
| Social Worker | 104100000X | 013294604 | NY | Primary |
Addresses
Primary practice location
24 Wildwood GDNS Apt 1F
Port Washington, NY 11050-2330
Mailing address
24 Wildwood GDNS Apt 1F
Port Washington, NY 11050-2330
Phone (516) 578-8414
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013294604 | NY | MD | Social Worker |
| 088954 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1083229850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WILDWOOD GDNS APT 1F",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110502330",
"telephone_number": "516-578-8414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 WILDWOOD GDNS APT 1F",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110502330",
"telephone_number": "516-578-8414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELILLO",
"first_name": "KAREN",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "088954",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "013294604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.