Active NPI
Kathleen F. Deford, LCSW / MSW
- Clinical Social Worker
- Newark, DE
National Provider Identifier
1679877864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0001054
- Practice address
- 910 S Chapel St
Suite 102
Newark, DE 19713-3467 - Phone
- (302) 224-1400
- Fax
- (302) 224-1402
- NPI assigned
- Jan 2, 2011
- Last updated
- Jan 18, 2024
- Sex
- Female
- 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 | Q1-0001054 | DE | Primary |
Addresses
Primary practice location
910 S Chapel St
Suite 102
Newark, DE 19713-3467
Mailing address
910 S Chapel St
Suite 102
Newark, DE 19713-3467
Phone (302) 224-1400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 W Commons Blvd
Suite 301
New Castle, DE 19720-2419
Phone (302) 224-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
dba LifeStance Health
- Intellectual & Developmental Disabilities Psychologist
- Newark, DE
- NPI 1871719872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1679877864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 S CHAPEL ST",
"address_2": "SUITE 102",
"city": "NEWARK",
"state": "DE",
"postal_code": "197133467",
"telephone_number": "302-224-1400",
"fax_number": "302-224-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 S CHAPEL ST",
"address_2": "SUITE 102",
"city": "NEWARK",
"state": "DE",
"postal_code": "197133467",
"telephone_number": "302-224-1400",
"fax_number": "302-224-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFORD",
"first_name": "KATHLEEN",
"middle_name": "F.",
"credential": "LCSW / MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-02",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0001054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.