Maura Delisser, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

073868 Issued in NY

Practice address

2550 Webb Avenue
Archcare Senior Life/Kittay House
Bronx, NY 10468

Phone

(646) 647-7583

NPI assigned

Mar 4, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1285094151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 HENRY HUDSON PKWY APT 4F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713865",
            "telephone_number": "718-543-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WEBB AVENUE",
            "address_2": "ARCHCARE SENIOR LIFE/KITTAY HOUSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10468",
            "telephone_number": "646-647-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISSER",
        "first_name": "MAURA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Delia
• Rhoda Deliard
• Angela S Delio, PA-C
• Randi Sue Delirod, MA, LMSW
• Dieunifer Sterline Delisca
• Jose Ricardo Deliz, MD
• Erin Colleen Delizzio
• Anna Dell Jackson, LPN
• John Della Badia, M.D.
• Natalie Jean Della Posta

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, 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 Mar 4, 2016; 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.