Erica Delossantos

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05688700 Issued in NJ

Practice address

3010 Bordentown Ave Ste 4
Parlin, NJ 08859-1181

Phone

(732) 754-2846

NPI assigned

Jan 26, 2023

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2023.

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1689380321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 BORDENTOWN AVE STE 4",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591181",
            "telephone_number": "732-365-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 BORDENTOWN AVE STE 4",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591181",
            "telephone_number": "732-754-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOSSANTOS",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05688700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Maria Ciraco, PSY.D
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• Rosalind Cox Larrieux, PT, DOULA
• Jake Damato, DPT
• Angad Desai, DPT
• Jelysa Deserio, LCSW
• Rohini Dhar, DDS
• Diagnostic Institute of Imaging Inc
• Michele Marissa Dickson, MSCCC-SLP

• All providers in Parlin, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.