Individual provider Active NPI

Delvin Mario Hector, LISW

  • Clinical Social Worker
  • Crestview, FL
National Provider Identifier
1740583467
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1000361 Issued in OH
Practice address
6050 Donald Guy Rd
Crestview, FL 32539-9718
Phone
(904) 610-2039
NPI assigned
Dec 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 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 I1000361 OH Primary

Addresses

Primary practice location

6050 Donald Guy Rd
Crestview, FL 32539-9718

Mailing address

6050 Donald Guy Rd
Crestview, FL 32539-9718
Phone (513) 657-1541

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1000361OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DMH Mental Health Consultation and Training LLC Clinical CurrentSince Jul 21, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1740583467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 DONALD GUY RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325399718",
            "telephone_number": "513-657-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 DONALD GUY RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325399718",
            "telephone_number": "904-610-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECTOR",
        "first_name": "DELVIN",
        "middle_name": "MARIO",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-20",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1000361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.