Individual provider Active NPI

Diane Necastro, LCSW, LLC

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1255430393
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q10000379 Issued in DE
Practice address
1500 Shallcross Ave Ste 2
Wilmington, DE 19806-3037
Phone
(302) 379-8959
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 Q10000379 DE Primary

Addresses

Primary practice location

1500 Shallcross Ave Ste 2
Wilmington, DE 19806-3037

Mailing address

7 Yorkridge TRL
Hockessin, DE 19707-9633
Phone (302) 379-8959

Other practice location 1

1213 Delaware Ave
Wilmington, DE 19806
Phone (302) 652-3948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20171107000976 DE Practitioner - Clinical Social Worker 5092071142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diane Necastro LCSW LLCGroup PAC ID 7719243864, 2 clinicians

Practice addresses (Care Compare)

1500 Shallcross Ave
Suite 2
Wilmington, DE 19806-3037
Phone (302) 379-8959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q10000379DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Necastro LCSW LLC Clinical CurrentSince Aug 10, 2017 Accepting new patients
Delaware Guidance Services for Children & Youth, Inc. Past Accepting new patients

Locations

1500 Shallcross Ave
Ste 2
Wilmington, DE 19806
Phone (302) 379-8959

2601 Annand Dr
Ste 20
Wilmington, DE 19808
Phone (302) 379-8959

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1255430393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 YORKRIDGE TRL",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197079633",
            "telephone_number": "302-379-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHALLCROSS AVE STE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063037",
            "telephone_number": "302-379-8959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "19806",
            "country_code": "US",
            "telephone_number": "302-652-3948",
            "fax_number": "302-652-8297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NECASTRO",
        "first_name": "DIANE",
        "credential": "LCSW, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.