Individual provider Active NPI

Vincent Delbalzo, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1619911831
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MD08323 Issued in MD
Practice address
12 S Adams St
Rockville, MD 20850-4238
Phone
(301) 467-4601
Fax
(301) 424-5518
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD08323 MD Primary

Addresses

Primary practice location

12 S Adams St
Rockville, MD 20850-4238

Mailing address

12 S Adams St
Rockville, MD 20850-4238
Phone (301) 467-4601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220921000183 MD Practitioner - Clinical Social Worker 6406758523 Practice locations: Berlin, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10031 Old Ocean City Blvd
Suite 214
Berlin, MD 21811-1173
Phone (301) 467-4601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619911831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S ADAMS ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504238",
            "telephone_number": "301-467-4601",
            "fax_number": "301-424-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S ADAMS ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504238",
            "telephone_number": "301-467-4601",
            "fax_number": "301-424-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELBALZO",
        "first_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "MD08323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.