Delsa Johnson Fauconier, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0754161 Issued in NY

Practice address

1953 Richmond Ter
Staten Island, NY 10302-1201

Phone

(718) 614-3363

NPI assigned

Oct 6, 2008

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  NY

  Medicare reassignment NPD
• Aurora Counseling Services LLC

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1366062333
  NPD
• Sun River Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Peekskill, NY
  • NPI 1619969458
  NPD

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1154572469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 BUSH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032215",
            "telephone_number": "718-614-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 RICHMOND TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021201",
            "telephone_number": "718-614-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUCONIER",
        "first_name": "DELSA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0754161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman S. Fastman, M.D.
• Fat Rabbit Orthopedics PLLC
• Hasnaa Fathalla, M.S.ED.
• Rooshna Firdous Fatima, MD
• Saher Fatima
• Victoria Faulkner
• Patricia E Fauske, RN
• Naiquan Favors, RN
• Noor J Fawakherji
• Lawrence Olalere Fawole, LPN

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.