Individual provider Active NPI

Beth Canalichio, LCSW

  • Clinical Social Worker
  • Dover, DE
National Provider Identifier
1164769741
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0000489 Issued in DE
Practice address
884 Walker Rd Ste 5C
Dover, DE 19904-2758
Phone
(302) 734-7760
Fax
(302) 734-7780
NPI assigned
Jan 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0000489 DE Primary

Addresses

Primary practice location

884 Walker Rd Ste 5C
Dover, DE 19904-2758

Mailing address

PO Box 129
Camden, DE 19934-0129
Phone (302) 734-7760

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

LicenseStateTypeSpecialty
0000489DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beth a Canalichio LCSW LTD Clinical Past Accepting new patients
Amy Didden, LCSW, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1164769741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199340129",
            "telephone_number": "302-734-7760",
            "fax_number": "302-734-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 WALKER RD STE 5C",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042758",
            "telephone_number": "302-734-7760",
            "fax_number": "302-734-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALICHIO",
        "first_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "0000489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.