Individual provider Active NPI

Barbara Elizabeth Delisle, PHD, LICSW

  • Clinical Social Worker
  • Mobile, AL
National Provider Identifier
1336555093
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1494C Issued in AL
Practice address
6925 Cottage Hill Rd
Ste E
Mobile, AL 36695
Phone
(251) 300-9192
Fax
(251) 800-7245
NPI assigned
Jul 2, 2014
Last updated
Jun 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 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 1494C AL Primary

Addresses

Primary practice location

6925 Cottage Hill Rd
Ste E
Mobile, AL 36695

Mailing address

6925 Cottage Hill Rd
Ste E
Mobile, AL 36695
Phone (251) 300-9192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140915000080 AL Practitioner - Clinical Social Worker 5193944700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6925 Cottage Hill Rd
Suite E
Mobile, AL 36695-3715
Phone (251) 300-9192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1494CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Hill Counseling Services, LLC Clinical CurrentSince May 30, 2018 Accepting new patients

Locations

6925 Cottage Hill Rd
Ste E
Mobile, AL 36695
Phone (251) 300-9192

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1336555093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 COTTAGE HILL RD",
            "address_2": "STE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "251-300-9192",
            "fax_number": "251-800-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 COTTAGE HILL RD",
            "address_2": "STE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "251-300-9192",
            "fax_number": "251-800-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISLE",
        "first_name": "BARBARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1494C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.