Active NPI
Christine D Delo, LCSW
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1477924397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904008616
- Practice address
- 297 Independence Blvd
Suite 126
Virginia Beach, VA 23462-2911 - Phone
- (757) 385-0511
- Fax
- (757) 497-6201
- NPI assigned
- Oct 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904008616 | VA | Primary |
Addresses
Primary practice location
297 Independence Blvd
Suite 126
Virginia Beach, VA 23462-2911
Mailing address
297 Independence Blvd
Suite 126
Virginia Beach, VA 23462-2911
Phone (757) 385-0511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861562472 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160106000810 | VA | Practitioner - Clinical Social Worker | 1153623210 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904008616 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Shore Community MH Mr Sas Services Board | Current | Accepting new patients | |
| Eastern Shore Community Services Board | Current | Accepting new patients |
Locations
19056 Greenbush Rd
Parksley, VA 23421
Phone (757) 665-1260
Organizations & group practices 2
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.
-
- Professional Counselor
- Parksley, VA
- NPI 1154411510
VA
-
- Speech-Language Pathologist
- Belle Haven, VA
- NPI 1821283722
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Virginia Commonwealth Univ School of Dentistry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Eastern Shore Community MH Mr Sas Services Board
Practice addresses (Care Compare)
19056 Greenbush Rd
Parksley, VA 23421-2510
Phone (757) 665-1260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1477924397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 INDEPENDENCE BLVD",
"address_2": "SUITE 126",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622911",
"telephone_number": "757-385-0511",
"fax_number": "757-497-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 INDEPENDENCE BLVD",
"address_2": "SUITE 126",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622911",
"telephone_number": "757-385-0511",
"fax_number": "757-497-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELO",
"first_name": "CHRISTINE",
"middle_name": "D",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904008616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861562472",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.