Active NPI
Kristin Delcoco, LSW
- Social Worker
- East Stroudsburg, PA
National Provider Identifier
1144643172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW130076
- Practice address
- 513 Mill Creek Rd
East Stroudsburg, PA 18301-1125 - Phone
- (570) 982-4205
- NPI assigned
- Jan 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW130076 | PA | Primary |
Addresses
Primary practice location
513 Mill Creek Rd
East Stroudsburg, PA 18301-1125
Mailing address
51 Market St
Bangor, PA 18013-1901
Phone (610) 588-9109
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW130076 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1144643172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 MARKET ST",
"city": "BANGOR",
"state": "PA",
"postal_code": "180131901",
"telephone_number": "610-588-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 MILL CREEK RD",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183011125",
"telephone_number": "570-982-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELCOCO",
"first_name": "KRISTIN",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW130076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.