Individual provider Active NPI

Maria Delgado, LMHC, LMSW

  • Counselor
  • Fort Pierce, FL
National Provider Identifier
1235147547
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
002529 Issued in NY
Practice address
117 N 5TH St Ste 2
Fort Pierce, FL 34950-4266
Phone
(772) 207-5390
Fax
(772) 207-5390
NPI assigned
Aug 3, 2006
Last updated
Apr 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 002529 NY Primary
Clinical Social Worker 1041C0700X 070296 NY

Addresses

Primary practice location

117 N 5TH St Ste 2
Fort Pierce, FL 34950-4266

Mailing address

117 N 5TH St Ste 2
Fort Pierce, FL 34950-4266
Phone (772) 207-5390

Other identifiers 1

IdentifierTypeStateIssuer
11614573OtherNYCAQH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070296NYMDClinical Social Worker

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21478/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1235147547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N 5TH ST STE 2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504266",
            "telephone_number": "772-207-5390",
            "fax_number": "845-371-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N 5TH ST STE 2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504266",
            "telephone_number": "772-207-5390",
            "fax_number": "772-207-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LMHC, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "002529",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070296",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11614573",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.