Karin Liseth Deleon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

93161-01 Issued in NY

Practice address

409 Montrose Ave
Syracuse, NY 13219-1629

Phone

(804) 478-8565

NPI assigned

Jun 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1366067472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 MONTROSE AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191629",
            "telephone_number": "804-478-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MONTROSE AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191629",
            "telephone_number": "804-478-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "SUNY Oswego Counseling Services WHC #10",
            "address_2": "40 Rudolph Rd",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "13126",
            "country_code": "US",
            "telephone_number": "315-732-3431",
            "fax_number": "866-822-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELEON",
        "first_name": "KARIN",
        "middle_name": "LISETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-01-05",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106272",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093161-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "93161-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigitte Annastasia Delashmette, MD
• Christine Delay
• Latonya S Delee-Sledge, LPN
• Jessica Marie Delee
• Lena Deleo, LCAT
• Tuncay Delibasi, MD
• Florence Delisi, LICENSED PRACTICAL N
• Nicole Dellios
• Daniel Stephen Delluomo, DDS PHD
• Ian Vincent Delmar, PA-C

• 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 Jan 5, 2023; 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.