Marie Christine Delord, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S.1903687 Issued in OH

Practice address

4641 Bach LN
Fairfield, OH 45014-1900

Phone

(513) 310-0959

NPI assigned

Jul 31, 2020

Last updated

Aug 4, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1508476987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 GRANDIN PASS CT",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398428",
            "telephone_number": "513-310-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 BACH LN",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450141900",
            "telephone_number": "513-310-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELORD",
        "first_name": "MARIE",
        "middle_name": "CHRISTINE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.1903687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.