Individual provider Active NPI

Marc V Felizzi, LCSW, PHD

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1497852503
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q10000490 Issued in DE
Practice address
1601 Milltown Rd Ste 22
Wilmington, DE 19808-4084
Phone
(302) 897-4942
Fax
(302) 998-7670
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 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 Q10000490 DE Primary

Addresses

Primary practice location

1601 Milltown Rd Ste 22
Wilmington, DE 19808-4084

Mailing address

1601 Milltown Rd Ste 22
Wilmington, DE 19808-4084
Phone (302) 897-4942

Other identifiers 2

IdentifierTypeStateIssuer
11701529OtherDECAQH
000593172MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20230606003549 DE Practitioner - Clinical Social Worker 5193182178 Practice locations: Wilmington, DE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4420 Limestone Rd
Suite 201a
Wilmington, DE 19808-2005
Phone (302) 897-4942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
Q10000490DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Treatment Options, LLC Clinical Past Accepting new patients
Terry L Ramsey LCSW LLC Clinical Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1497852503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD STE 22",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084084",
            "telephone_number": "302-897-4942",
            "fax_number": "302-998-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD STE 22",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084084",
            "telephone_number": "302-897-4942",
            "fax_number": "302-998-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIZZI",
        "first_name": "MARC",
        "middle_name": "V",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11701529",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000593172",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.