Individual provider Active NPI

Donato Del Bene, LCSW

  • Clinical Social Worker
  • Bronxville, NY
National Provider Identifier
1285676213
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075245 Issued in NY
Practice address
119 Pondfield Rd
Unit 40
Bronxville, NY 10708-7603
Phone
(914) 949-6780
Fax
(914) 949-3525
NPI assigned
Jun 12, 2006
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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 075245 NY Primary

Addresses

Primary practice location

119 Pondfield Rd
Unit 40
Bronxville, NY 10708-7603

Mailing address

119 Pondfield Rd
Unit 40
Bronxville, NY 10708-7603
Phone (914) 965-3700

Other identifiers 3

IdentifierTypeStateIssuer
1285628552OtherNYJDAM NPI
00355940OtherNYAGENCY MEDICAID #
075245OtherNYNYS LICENSE

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
075245NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Julia Dyckman Andrus Memorial, Inc. PastSince Apr 1, 2005 Accepting new patients
Service Program for Older People Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1285676213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PONDFIELD RD",
            "address_2": "UNIT 40",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107087603",
            "telephone_number": "914-965-3700",
            "fax_number": "914-965-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PONDFIELD RD",
            "address_2": "UNIT 40",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107087603",
            "telephone_number": "914-949-6780",
            "fax_number": "914-949-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL BENE",
        "first_name": "DONATO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JDAM NPI",
            "identifier": "1285628552",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICAID #",
            "identifier": "00355940",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "075245",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

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