Individual provider Active NPI

Tomaro Monique Pilgrim, HS-BCP, LMSW, DOULA

  • Social Worker
  • Claymont, DE
National Provider Identifier
1548715451
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
Q3-0010983 Issued in DE
Practice address
1261 Parish Ave
Claymont, DE 19703-3338
Phone
(856) 542-8861
NPI assigned
Aug 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X
Doula 374J00000X
Social Worker 104100000X Q3-0010983 DE Primary

Addresses

Primary practice location

1261 Parish Ave
Claymont, DE 19703-3338

Mailing address

1261 Parish Ave
Claymont, DE 19703-3338
Phone (856) 542-8861

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
Q3-0010983DEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tomaro'S Change Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Sankofa Tribe, LLC Doula CurrentSince Sep 1, 2024 Accepting new patients

Locations

3001 Philadelphia Pike
Ste 1
Claymont, DE 19703
Phone (844) 222-8500

3301 Green St
Ste 235
Claymont, DE 19703
Phone (302) 439-4951

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": "1471651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1548715451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 PARISH AVE",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197033338",
            "telephone_number": "856-542-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 PARISH AVE",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197033338",
            "telephone_number": "856-542-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILGRIM",
        "first_name": "TOMARO",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "HS-BCP, LMSW, DOULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-20",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q3-0010983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claymont, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.