Carla Daufenbach, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0000543 Issued in DE

Practice address

1485 S Governors Ave
Dover, DE 19904-7017

Phone

(302) 674-3225

Fax

(302) 674-2218

NPI assigned

May 18, 2006

Last updated

Jun 1, 2010By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Behavioral Health Services

  • Psychiatry Physician
  • Dover, DE
  • NPI 1689748428
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1114970613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAST ST",
            "city": "MARYDEL",
            "state": "DE",
            "postal_code": "199642155",
            "telephone_number": "302-492-1627",
            "fax_number": "302-492-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047017",
            "telephone_number": "302-674-3225",
            "fax_number": "302-674-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUFENBACH",
        "first_name": "CARLA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000022248",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Darway
• Anjali Das
• Lena Das, M.D.
• Danielle Dash, LPCMH
• Diana Maria Dasilva, FNP-BC
• Bhavin R Dave, MD
• David Ross Davenport Jr., PA
• David E. Schmidt Jr., M.D.P.a.
• Nedra Tenley Davidson
• Svastijaya Daviratanasilpa, M.D.

• Clinical Social Worker in Dover, DE
• Providers in Dover, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.