Lucille Izola Delong, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-19323 Issued in AZ

Practice address

405 N Beaver St Ste 9
Flagstaff, AZ 86001-4500

Phone

(928) 286-7229

NPI assigned

Apr 4, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Balance Health and Wellness

  • Clinical Social Worker
  • Flagstaff, AZ
  • NPI 1881268878
  NPD
• Balance Mental Health and Wellness LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flagstaff, AZ
  • NPI 1962042572
  NPD

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

{
    "created_epoch": "1649030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1487395653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N BEAVER ST STE 9",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014500",
            "telephone_number": "928-286-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N BEAVER ST STE 9",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014500",
            "telephone_number": "928-286-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "LUCILLE",
        "middle_name": "IZOLA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-04",
        "last_updated": "2022-04-04",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-19323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.balancementalhealthandwellness.org/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "405 N Beaver St Ste 9",
            "city": "Flagstaff",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "860014500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary L Delduca, MD
• Deleonguerrero OBGYN, PLLC
• Casey Deleonguerrero, D.O.
• Amy L Deleva, MD
• Gabrielle Delio, RD
• Verda Denetsosie, LISAC
• Kimberly Nicole Dennis, PT, DPT
• Jocelyn Camryn Denny
• Maria Margaret Denny, PMHNP
• Denova Collaborative Health, LLC

• Social Worker in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.