Individual provider Active NPI

Krista Delgado, M.S., L.I.S.W.-CP

  • Clinical Social Worker
  • Bluffton, SC
National Provider Identifier
1427276377
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6760 Issued in SC
Practice address
10 Pinckney Colony Rd
Executive Center Suite 315
Bluffton, SC 29909-4126
Phone
(843) 298-4637
Fax
(877) 248-2314
NPI assigned
Apr 23, 2007
Last updated
Apr 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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 6760 SC Primary

Addresses

Primary practice location

10 Pinckney Colony Rd
Executive Center Suite 315
Bluffton, SC 29909-4126

Mailing address

10 Pinckney Colony Rd
Executive Center Suite 315
Bluffton, SC 29909-4126
Phone (843) 298-4637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20090506000297 SC Practitioner - Clinical Social Worker 3375691009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Pinckney Colony Rd
Suite 300
Bluffton, SC 29909-4148
Phone (843) 298-4637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6760SCMDClinical Social Worker
004695CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Psychotherapy and Consulting Inc. Clinical CurrentSince Jan 12, 2010 Accepting new patients

Locations

10 Pinckney Colony Rd
Ste 300
Okatie, SC 29909
Phone (843) 298-4637

10 Pinckney Colony Rd
Ste 315
Okatie, SC 29909
Phone (843) 298-4637

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1427276377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PINCKNEY COLONY RD",
            "address_2": "EXECUTIVE CENTER SUITE 315",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299094126",
            "telephone_number": "843-298-4637",
            "fax_number": "877-248-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PINCKNEY COLONY RD",
            "address_2": "EXECUTIVE CENTER SUITE 315",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299094126",
            "telephone_number": "843-298-4637",
            "fax_number": "877-248-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "KRISTA",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.I.S.W.-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.