Carole Ann Della Pia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1484-123 Issued in WI

Practice address

6233 Durand Ave
Suite F
Racine, WI 53406-4961

Phone

(262) 554-8165

Fax

(262) 554-8165

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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)

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.

• Tungseth Psychotherapy Clinic LLC

  • Professional Counselor
  • Racine, WI
  • NPI 1609927011

  Clinical

  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124173323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 RUSSET ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052851",
            "telephone_number": "262-634-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 DURAND AVE",
            "address_2": "SUITE F",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064961",
            "telephone_number": "262-554-8165",
            "fax_number": "262-554-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLA PIA",
        "first_name": "CAROLE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1484-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39261800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Louis Defurio, D.D.S.
• Richard L. Defurio, D.D.S.
• Joyce Shirley Degenhart, PHD
• Jesse Varney Degroat Jr., M.D.
• Kaylee Deisbeck
• John T Dembowiak, LPT
• Gail Jean Deno
• Autumn R Depaoli, LPC-IT
• Monserratt Itzayana Derby, LPC
• Tia Derflinger, PA-C

• Clinical Social Worker in Racine, WI
• Providers in Racine, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.