Active NPI
Sheila Delvalle, LMSW, LGSW
- Social Worker
- Shirley, NY
National Provider Identifier
1609648310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 119516
- Practice address
- 29 Harrison Dr
Shirley, NY 11967-4105 - Phone
- (631) 578-4188
- NPI assigned
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LG200002707 | DC | |
| Social Worker | 104100000X | 119516 | NY | Primary |
Addresses
Primary practice location
29 Harrison Dr
Shirley, NY 11967-4105
Mailing address
29 Harrison Dr
Shirley, NY 11967-4105
Phone (631) 578-4188
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
| License | State | Type | Specialty |
|---|---|---|---|
| LG200002707 | DC | MD | Social Worker |
| 119516 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Therapy Group LLC | Clinical | Current | Accepting new patients |
| Nuweights | Clinical | Past | Accepting new patients |
Locations
329 S Oyster Bay Rd
Plainview, NY 11803
Phone (714) 452-1961
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.
-
- Clinical Social Worker
- Riverhead, NY
- NPI 1902602337
-
- Clinical Social Worker
- Alexandria, VA
- NPI 1720355241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1609648310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 HARRISON DR",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119674105",
"telephone_number": "631-578-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 HARRISON DR",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119674105",
"telephone_number": "631-578-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELVALLE",
"first_name": "SHEILA",
"credential": "LMSW, LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-25",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG200002707",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "119516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.