Active NPI
Stavros Efstratios Delardas, LCSW, PMH-C, CLC
- Clinical Social Worker
- Staten Island, NY
National Provider Identifier
1679227771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 103322
- Practice address
- 192 Holden Blvd
Staten Island, NY 10314-5159 - Phone
- (718) 290-5937
- NPI assigned
- Feb 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 112496 | NY | |
| Clinical Social Worker | 1041C0700X | 103322 | NY | Primary |
Addresses
Primary practice location
192 Holden Blvd
Staten Island, NY 10314-5159
Mailing address
192 Holden Blvd
Staten Island, NY 10314-5159
Phone (718) 290-5937
Other practice location 1
235 Port Richmond Ave
Staten Island, NY 10302-1701
Phone (718) 876-1732 ext. 7519
Other practice location 2
135 Canal St
Staten Island, NY 10304-2273
Phone (718) 876-1732
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 |
|---|---|---|---|
| 112496 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1679227771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 HOLDEN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145159",
"telephone_number": "718-290-5937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 HOLDEN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145159",
"telephone_number": "718-290-5937"
}
],
"practiceLocations": [
{
"address_1": "235 Port Richmond Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103021701",
"country_code": "US",
"telephone_number": "718-876-1732 x7519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 Canal St",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103042273",
"country_code": "US",
"telephone_number": "718-876-1732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELARDAS",
"first_name": "STAVROS",
"middle_name": "EFSTRATIOS",
"credential": "LCSW, PMH-C, CLC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-08",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "112496",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "103322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.