Antonette Deluca

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

S0012744 Issued in OH

Practice address

407 Decatur St
Sandusky, OH 44870-2442

Phone

(419) 984-1312

Fax

(419) 626-9435

NPI assigned

Feb 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sandusky City School District

  • Local Education Agency (LEA)
  • Sandusky, OH
  • NPI 1740487388
  NPD (past)

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1104240126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 DECATUR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702442",
            "telephone_number": "419-984-1312",
            "fax_number": "419-626-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 DECATUR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702442",
            "telephone_number": "419-984-1312",
            "fax_number": "419-626-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "ANTONETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "S0012744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S0012744",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Monique Moten Debose
• Sevanne L Decker, BSRPH
• Shelly Jo Delamatre, P.T.
• Leslie Delk
• James Lawrence Della Santina, DDS
• Mary Katherine Demboske, CNP
• Nicholas Paul Denbesten, PH.D.
• Jeanette Lynn Dendy
• Adam Dengler, RD, LD
• Annette Denney, RPH

• School Social Worker in Sandusky, OH
• Providers in Sandusky, OH by specialty
• School Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.