Individual provider Active NPI

Dalida Delgado

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1174801526
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW11155 Issued in FL
Practice address
10139 Montague St
Tampa, FL 33626-1857
Phone
(813) 431-4577
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 ISW11155 FL Primary

Addresses

Primary practice location

10139 Montague St
Tampa, FL 33626-1857

Mailing address

10139 Montague St
Tampa, FL 33626-1857
Phone (813) 431-4577

Other practice location 1

2225 W Broadway
Louisville, KY 40211-1003
Phone (502) 589-8600 ext. 1275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA, KY, OH, SC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20200419000058 FL Practitioner - Clinical Social Worker 2961832761 Reassigns benefits to 1 organization
I20241113002412 MA Practitioner - Clinical Social Worker 2961832761 Reassigns benefits to 1 organization
I20241122002562 KY Practitioner - Clinical Social Worker 2961832761 Reassigns benefits to 1 organization
I20241125000651 OH Practitioner - Clinical Social Worker 2961832761 Reassigns benefits to 1 organization
I20241209003168 SC Practitioner - Clinical Social Worker 2961832761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

110 Traders Cross
FL 1
Bluffton, SC 29909-4637
Phone (866) 630-0966

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

312 S 4TH St
Suite 700
Louisville, KY 40202-3046
Phone (866) 630-0966

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

90 Canal St
Suite 4
Boston, MA 02114-2022
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW11155FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Path Healing & Wellness LLC Clinical Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Nov 6, 2024 Accepting new patients

Locations

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

110 Traders Cross
Okatie, SC 29909
Phone (602) 675-0335

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174801526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10139 MONTAGUE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261857",
            "telephone_number": "813-431-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10139 MONTAGUE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261857",
            "telephone_number": "813-431-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402111003",
            "country_code": "US",
            "telephone_number": "502-589-8600 x1275",
            "fax_number": "502-589-8771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "DALIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW11155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.