Active NPI
Katherine Virginia Delorenzo, LCSW
- Clinical Social Worker
- Longboat Key, FL
National Provider Identifier
1417246125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14295
- Practice address
- 5380 Gulf of Mexico Dr
Longboat Key, FL 34228-2048 - Phone
- (617) 223-1025
- NPI assigned
- Apr 4, 2011
- Last updated
- Mar 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73-078055 | NY | |
| Clinical Social Worker | 1041C0700X | SW14295 | FL | Primary |
Addresses
Primary practice location
5380 Gulf of Mexico Dr
Longboat Key, FL 34228-2048
Mailing address
2144 Oak Ter
Sarasota, FL 34231-4422
Phone (617) 223-1025
Other practice location 1
26 Court St
Suite 1210
Brooklyn, NY 11242-0103
Phone (617) 223-1025
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW14295 | FL | MD | Clinical Social Worker |
| 73-078055 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1417246125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2144 OAK TER",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342314422",
"telephone_number": "617-223-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 GULF OF MEXICO DR",
"city": "LONGBOAT KEY",
"state": "FL",
"postal_code": "342282048",
"telephone_number": "617-223-1025"
}
],
"practiceLocations": [
{
"address_1": "26 Court St",
"address_2": "Suite 1210",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112420103",
"country_code": "US",
"telephone_number": "617-223-1025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELORENZO",
"first_name": "KATHERINE",
"middle_name": "VIRGINIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-04",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73-078055",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longboat Key, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.