Jessica Nicole Delutis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

097747 Issued in NY

Practice address

3522 James St
Syracuse, NY 13206-2485

Phone

(315) 552-0657

NPI assigned

Mar 8, 2021

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

Other names 1

• Jessica Nicole McElligott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 13, 2025 through Jan 13, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333
  NPD (past)

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1285229690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062485",
            "telephone_number": "315-552-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062485",
            "telephone_number": "315-552-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUTIS",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MCELLIGOTT",
            "middle_name": "NICOLE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzanne J Delong, LCSW ACSW
• Deanna Elizabeth Delore
• Justin Michael Delorenzo, DPT
• Jennifer Sue Delosh, LMSW
• Harvey M Delson, LCSW
• Adriene Michelle Delvecchio, LPN
• Debra Delvecchio, LCSW
• Delvin F. Gomez, D.C.
• Hannah Demane
• Lisa A Demarche, RPA

• Clinical Social Worker in Syracuse, NY
• Providers in Syracuse, 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 Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.