Individual provider Active NPI

Lysette Delcastillo, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1558438697
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW25873 Issued in CA
Practice address
1202 Morena Blvd
Ste. 300
San Diego, CA 92110-3841
Phone
(619) 398-3261
Fax
(619) 275-2023
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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 LCSW25873 CA Primary

Addresses

Primary practice location

1202 Morena Blvd
Ste. 300
San Diego, CA 92110-3841

Mailing address

1202 Morena Blvd
Ste. 300
San Diego, CA 92110-3841
Phone (619) 398-3261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20111028000149 CA Practitioner - Clinical Social Worker 5698948198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW25873CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Health Services Apc CurrentSince Jul 8, 2024 Accepting new patients

Locations

3150 Pio Pico Dr
Ste 105
Carlsbad, CA 92008
Phone (760) 828-5300

2204 S El Camino Real
Ste 315
Oceanside, CA 92054
Phone (442) 244-0019

Organizations & group practices 1

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1558438697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MORENA BLVD",
            "address_2": "STE. 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103841",
            "telephone_number": "619-398-3261",
            "fax_number": "619-275-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MORENA BLVD",
            "address_2": "STE. 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103841",
            "telephone_number": "619-398-3261",
            "fax_number": "619-275-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELCASTILLO",
        "first_name": "LYSETTE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW25873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.