Tia M. Deloatch, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21713 Issued in MD

Practice address

401 Carroll St Ste 101
La Plata, MD 20646-5986

Phone

(301) 247-1120

Fax

(240) 776-4462

NPI assigned

Oct 19, 2016

Last updated

Jan 7, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 20, 2024 through May 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1114478732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CARROLL ST STE 101",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465986",
            "telephone_number": "301-247-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CARROLL ST STE 101",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465986",
            "telephone_number": "301-247-1120",
            "fax_number": "240-776-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOATCH",
        "first_name": "TIA",
        "middle_name": "M.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik De Angelis, MD
• Elizabeth Dean
• Treeci Dean
• Natasha Chinakesha Decaires-Chester, NP
• Randolph A. Decarlo, M.D.
• Delphi Healthcare Partners of Maryland, LLC (LaPlata Surgery Services)
• Delphi Healthcare Partners of Maryland, LLC (LaPlata Emergency Physicians)
• Delphi Healthcare Partners of Maryland, LLC (LaPlata Pediatric Hospitalists)
• Delphi Healthcare Partners of Maryland, LLC (LaPlata Physician Services)
• Christy A Denckla, LMHC, NCC

• Clinical Social Worker in La Plata, MD
• Providers in La Plata, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.