Active NPI
John J Byrne Jr.
- Clinical Social Worker
- Lewes, DE
National Provider Identifier
1629740311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 16287 Willow Creek Rd
Lewes, DE 19958-3614 - Phone
- (302) 703-6332
- NPI assigned
- Sep 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
16287 Willow Creek Rd
Lewes, DE 19958-3614
Mailing address
24160 Port LN Unit 309
Lewes, DE 19958-4259
Phone (860) 604-8469
Other practice location 1
24160 Port Ln Unit 309
Lewes, DE 19958-4259
Phone (860) 604-8469
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Lewes | ||
| CONNECT URL | Lewes |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewes Mental Health LLC | Clinical | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1629740311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24160 PORT LN UNIT 309",
"city": "LEWES",
"state": "DE",
"postal_code": "199584259",
"telephone_number": "860-604-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16287 WILLOW CREEK RD",
"city": "LEWES",
"state": "DE",
"postal_code": "199583614",
"telephone_number": "302-703-6332"
}
],
"practiceLocations": [
{
"address_1": "24160 Port Ln Unit 309",
"address_purpose": "LOCATION",
"city": "Lewes",
"state": "DE",
"postal_code": "199584259",
"country_code": "US",
"telephone_number": "860-604-8469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYRNE",
"first_name": "JOHN",
"middle_name": "J",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-30",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lewes",
"affiliation": "N",
"address_1": "16287 Willow Creek Rd",
"city": "Lewes",
"state": "DE",
"country_code": "US",
"postal_code": "199583614",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lewes",
"affiliation": "N",
"address_1": "16287 Willow Creek Rd",
"city": "Lewes",
"state": "DE",
"country_code": "US",
"postal_code": "199583614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.