Wendy Delisi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012786 Issued in PA

Practice address

614 Church St
Honesdale, PA 18431-1821

Phone

(570) 253-0321

Fax

(570) 253-5990

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Tri County Human Services Center Inc

  • Case Management Agency
  • Carbondale, PA
  • NPI 1710186952
  NPD (past)
• Tri County Human Services Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carbondale, PA
  • NPI 1912966805
  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1124289525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 FALLBROOK ST",
            "address_2": "PO BOX 514",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184070514",
            "telephone_number": "570-282-1732",
            "fax_number": "570-282-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 CHURCH ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311821",
            "telephone_number": "570-253-0321",
            "fax_number": "570-253-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISI",
        "first_name": "WENDY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW012786",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Frederick Davis, MD
• Rourke Douglas Decker, DO
• Anthony Degori, DPT
• Michael Burke Delage Jr., MD
• Tammy Sue Deleo, PMHNP-BC, MSN, RN
• Carrie Elizabeth Demers M.D., M.D.
• Marla Osborne Dempsey, D.O.
• Destination Vitality LTD
• Luisa Fernanda Devia, MD
• William Russell Dewar III, MD

• Clinical Social Worker in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.