Individual provider Active NPI

Sheryl Diane Deluty, LCSW

  • Clinical Social Worker
  • West Hempstead, NY
National Provider Identifier
1417490954
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
021356 Issued in NY
Practice address
333 Woodfield Rd
West Hempstead, NY 11552-2532
Phone
(516) 652-1004
NPI assigned
Dec 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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 021356 NY Primary

Addresses

Primary practice location

333 Woodfield Rd
West Hempstead, NY 11552-2532

Mailing address

333 Woodfield Rd
West Hempstead, NY 11552-2532
Phone (516) 652-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170815003055 NY Practitioner - Clinical Social Worker 4880966571 Practice locations: West Hempstead, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

333 Woodfield Rd
West Hempstead, NY 11552-2532
Phone (516) 652-1004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021356NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1417490954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WOODFIELD RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522532",
            "telephone_number": "516-652-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WOODFIELD RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522532",
            "telephone_number": "516-652-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUTY",
        "first_name": "SHERYL",
        "middle_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "021356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

Verify at the official NPI Registry.