Active NPI
Tanya Frances Deleon, LCSWA
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1346673480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P007995
- Practice address
- 2875 Worth Dr
Wilmington, NC 28412-6248 - Phone
- (845) 235-4870
- Fax
- (910) 392-9559
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P007995 | NC | Primary |
Addresses
Primary practice location
2875 Worth Dr
Wilmington, NC 28412-6248
Mailing address
634 Serene CT NE
Leland, NC 28451-7793
Phone (845) 235-4870
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P007995 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1346673480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 SERENE CT NE",
"city": "LELAND",
"state": "NC",
"postal_code": "284517793",
"telephone_number": "845-235-4870",
"fax_number": "910-392-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 WORTH DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126248",
"telephone_number": "845-235-4870",
"fax_number": "910-392-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEON",
"first_name": "TANYA",
"middle_name": "FRANCES",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P007995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.