Individual provider Active NPI

Demetria E Delia, PHD LCSW

  • Social Worker
  • Westfield, NJ
National Provider Identifier
1366552473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC00019400 Issued in NJ
Practice address
134 S Euclid Ave
Westfield, NJ 07090-1120
Phone
(908) 242-6001
Fax
(973) 697-0886
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC00019400 NJ Primary

Addresses

Primary practice location

134 S Euclid Ave
Westfield, NJ 07090-1120

Mailing address

13 Johnson Rd
Newfoundland, NJ 07435-1128
Phone (973) 697-9311

Other identifiers 2

IdentifierTypeStateIssuer
P409123OtherOXFORD
175544OtherVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040625000293 NJ Practitioner - Clinical Social Worker 1254317712 Practice locations: Newfoundland, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13 Johnson Rd
Newfoundland, NJ 07435-1128
Phone (973) 697-9311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44SC00019400NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366552473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 JOHNSON RD",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351128",
            "telephone_number": "973-697-9311",
            "fax_number": "973-697-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901120",
            "telephone_number": "908-242-6001",
            "fax_number": "973-697-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIA",
        "first_name": "DEMETRIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC00019400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P409123",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "175544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.