Meredith Dellorco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009715 Issued in CT

Practice address

15 Berkshire Rd
Sandy Hook, CT 06482

Phone

(203) 426-8103

Fax

(203) 270-4338

NPI assigned

Dec 27, 2016

Last updated

Jun 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1285179374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CHRISTIAN ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923818",
            "telephone_number": "508-254-8913",
            "fax_number": "203-270-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BERKSHIRE RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "06482",
            "telephone_number": "203-426-8103",
            "fax_number": "203-270-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLORCO",
        "first_name": "MEREDITH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "407",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Michelle Conway, LMFTA
• Christine K. Coyle, LPC
• Wendy H. Davenson, LMFT, LADC
• Laura M Davi, MS, NCC
• Vesta V Davis, MA
• Mayumi Kah Wah Deraney, D.C.
• Rod Douglas Deraney, D.C.
• Amy Dickerson, LPC
• Colleen Digioia, LCSW
• Jessica Divanno, CRNP

• Clinical Social Worker in Sandy Hook, CT
• Providers in Sandy Hook, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.