Individual provider Active NPI

Laura Dickol, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1720804545
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012600 Issued in DE
Practice address
99 Passmore Rd
Wilmington, DE 19803-1548
Phone
(302) 932-3299
NPI assigned
Nov 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 Q1-0012600 DE Primary

Addresses

Primary practice location

99 Passmore Rd
Wilmington, DE 19803-1548

Mailing address

99 Passmore Rd
Wilmington, DE 19803-1548
Phone (302) 932-3299

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
I20250416000109 DE Practitioner - Clinical Social Worker 4789109422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Services of DelawareGroup PAC ID 4082643739, 21 clinicians

Practice addresses (Care Compare)

99 Passmore Rd
Wilmington, DE 19803-1548
Phone (302) 478-9411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agewise de LLC Clinical Current Accepting new patients
Jewish Family Services of Delaware Clinical CurrentSince Mar 7, 2025 Accepting new patients

Locations

99 Passmore Rd
Wilmington, DE 19803
Phone (302) 478-9411

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1720804545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 PASSMORE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031548",
            "telephone_number": "302-932-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PASSMORE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031548",
            "telephone_number": "302-932-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKOL",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.