Individual provider Active NPI

Lamonte Garnett Wilson, MSW

  • Clinical Social Worker
  • Newark, DE
National Provider Identifier
1649257346
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
QI-0000548 Issued in DE
Practice address
260 Chapman Rd
Suite-200-1
Newark, DE 19702-5490
Phone
(302) 399-5773
NPI assigned
Dec 23, 2005
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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 QI-0000548 DE Primary

Addresses

Primary practice location

260 Chapman Rd
Suite-200-1
Newark, DE 19702-5490

Mailing address

23 Airdrie Dr
Bear, DE 19701-2361
Phone (302) 399-5773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20170503000297 DE Practitioner - Clinical Social Worker 1355610882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

260 Chapman Rd
Suite 200
Newark, DE 19702-5491
Phone (302) 399-5773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QI-0000548DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Span Development Center Clinical CurrentSince Mar 29, 2017 Accepting new patients

Locations

260 Chapman Rd
Ste 200
Newark, DE 19702
Phone (302) 399-5773

260 Chapman Rd
Ste 200-1
Newark, DE 19702
Phone (302) 261-8723

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1649257346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 AIRDRIE DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012361",
            "telephone_number": "302-399-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CHAPMAN RD",
            "address_2": "SUITE-200-1",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025490",
            "telephone_number": "302-399-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAMONTE",
        "middle_name": "GARNETT",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "QI-0000548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.