Individual provider Active NPI

Felix Anthony Del Vecchio, MSW, LCSW, LADC, CCS

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1376550624
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC7506 Issued in ME
Practice address
25 Middle St
3Rd Floor
Portland, ME 04101-4212
Phone
(207) 773-3599
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

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
Clinical Social Worker 1041C0700X LC7506 ME Primary

Addresses

Primary practice location

25 Middle St
3Rd Floor
Portland, ME 04101-4212

Mailing address

42 Ocean View Ave
South Portland, ME 04106-3009
Phone (207) 799-4069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20110517000715 ME Practitioner - Clinical Social Worker 3173709631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC7506MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Community Health Center CurrentSince Jul 1, 2022 Accepting new patients
Portland Community Health Center CurrentSince Jul 1, 2022 Accepting new patients
Way Home, Inc. Clinical Past Accepting new patients

Locations

180 Park Ave
Portland, ME 04102
Phone (207) 772-3703

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376550624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 OCEAN VIEW AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063009",
            "telephone_number": "207-799-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MIDDLE ST",
            "address_2": "3RD FLOOR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014212",
            "telephone_number": "207-773-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL VECCHIO",
        "first_name": "FELIX",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, LADC, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC7506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.