Individual provider Active NPI

Scott Deily, PMSW

  • Clinical Social Worker
  • Silver City, NM
National Provider Identifier
1730529264
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-09923 Issued in NM
Practice address
508 W. Broadway St.
Suite E
Silver City, NM 88061
Phone
(505) 429-2991
Fax
(575) 538-1035
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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 C-09923 NM Primary

Addresses

Primary practice location

508 W. Broadway St.
Suite E
Silver City, NM 88061

Mailing address

PO Box 4017
Silver City, NM 88062-4017
Phone (505) 429-2991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20180612002529 NM Practitioner - Clinical Social Worker 4688929839 Practice locations: Santa Fe, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1500 5TH St
Suite 13
Santa Fe, NM 87505-3480
Phone (505) 429-2991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1730529264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4017",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880624017",
            "telephone_number": "505-429-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W. BROADWAY ST.",
            "address_2": "SUITE E",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "88061",
            "telephone_number": "505-429-2991",
            "fax_number": "575-538-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEILY",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.