Individual provider Active NPI

James Hazzard, LMSW

  • Social Worker
  • Millsboro, DE
National Provider Identifier
1497508618
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
Q3-0010810 Issued in DE
Practice address
30265 Commerce Dr Unit 205
Millsboro, DE 19966-3595
Phone
(302) 245-8722
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Q3-0010810 DE Primary

Addresses

Primary practice location

30265 Commerce Dr Unit 205
Millsboro, DE 19966-3595

Mailing address

314 Franklin Ave Ste 403
Berlin, MD 21811-1263
Phone (410) 973-2211

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
Q3-0010810DEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling Christian Ministry, LLC CurrentSince Apr 23, 2025 Accepting new patients
Seasons Hospice & Palliative Care of Delaware, LLC PastSince Apr 14, 2024 Accepting new patients

Locations

30265 Commerce Dr
Unit 205
Millsboro, DE 19966
Phone (302) 245-8722

314 Franklin Ave
Ste 403
Berlin, MD 21811
Phone (410) 629-1995

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, 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": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1497508618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 403",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111263",
            "telephone_number": "410-973-2211",
            "fax_number": "443-782-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR UNIT 205",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663595",
            "telephone_number": "302-245-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZZARD",
        "first_name": "JAMES",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q3-0010810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.