Individual provider Active NPI

Delyara Becker, LMSW

  • Clinical Social Worker
  • Mechanicsburg, PA
National Provider Identifier
1316317050
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019797 Issued in PA
Practice address
102A W Main St Ste 2
Mechanicsburg, PA 17055-6229
Phone
(717) 557-5357
NPI assigned
Oct 6, 2015
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW132811 PA
Clinical Social Worker 1041C0700X CW019797 PA Primary

Addresses

Primary practice location

102A W Main St Ste 2
Mechanicsburg, PA 17055-6229

Mailing address

102A W Main St Ste 2
Mechanicsburg, PA 17055-6229
Phone (717) 557-5357

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SimplePractice

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW132811PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Life Counseling Services Clinical CurrentSince Aug 29, 2021 Accepting new patients

Locations

102A W Main St
Ste 2
Mechanicsburg, PA 17055
Phone (717) 557-5357

Organizations & group practices 1

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1316317050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102A W MAIN ST STE 2",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556229",
            "telephone_number": "717-557-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102A W MAIN ST STE 2",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556229",
            "telephone_number": "717-557-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "DELYARA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132811",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "Buisness",
            "address_1": "102A W Main St Ste 2",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170556229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.