Active NPI
Suzanne Delasho, LCSWR
- Clinical Social Worker
- Peekskill, NY
National Provider Identifier
1124153184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R051598
- Practice address
- 1101 Main St
Peekskill, NY 10566-2907 - Phone
- (914) 737-7338
- Fax
- (914) 737-1050
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 | R051598 | NY | Primary |
Addresses
Primary practice location
1101 Main St
Peekskill, NY 10566-2907
Mailing address
1101 Main St
Peekskill, NY 10566-2907
Phone (914) 737-7338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241449 | Other | NY | HEALTHNET |
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 |
|---|---|---|---|
| R051598 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1124153184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MAIN ST",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662907",
"telephone_number": "914-737-7338",
"fax_number": "914-737-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MAIN ST",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662907",
"telephone_number": "914-737-7338",
"fax_number": "914-737-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELASHO",
"first_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "LCSWR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R051598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "241449",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peekskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.