Individual provider Active NPI

Chanelle Delima, LCSW

  • Clinical Social Worker
  • Salisbury, NC
National Provider Identifier
1629436589
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011548 Issued in NC
Practice address
507 W Innes St Ste 230
Salisbury, NC 28144-4265
Phone
(704) 232-2430
Fax
(800) 695-6856
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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 C011548 NC Primary

Addresses

Primary practice location

507 W Innes St Ste 230
Salisbury, NC 28144-4265

Mailing address

507 W Innes St Ste 230
Salisbury, NC 28144-4265
Phone (704) 232-2430

Other practice location 1

110 W Walker Ave
Asheboro, NC 27203-6760
Phone (336) 633-7000

Other practice location 2

1973 J N Pease Pl Ste 101
Charlotte, NC 28262-4525
Phone (704) 232-2430

Other identifiers 1

IdentifierTypeStateIssuer
34305MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200511001977 NC Practitioner - Clinical Social Worker 0547691305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 N Main St
Salisbury, NC 28144-3722
Phone (704) 232-2430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C011548NCMDClinical Social Worker

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1629436589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W INNES ST STE 230",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444265",
            "telephone_number": "704-232-2430",
            "fax_number": "800-695-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W INNES ST STE 230",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444265",
            "telephone_number": "704-232-2430",
            "fax_number": "800-695-6856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Walker Ave",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272036760",
            "country_code": "US",
            "telephone_number": "336-633-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1973 J N Pease Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282624525",
            "country_code": "US",
            "telephone_number": "704-232-2430",
            "fax_number": "800-695-6856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELIMA",
        "first_name": "CHANELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34305",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.