Individual provider Active NPI

Jessica Legrande, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1740944800
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0011965 Issued in DE
Practice address
507 Philadephila Pike
Wilmington, DE 19809-2177
Phone
(302) 762-8989
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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 Q1-0011965 DE Primary

Addresses

Primary practice location

507 Philadephila Pike
Wilmington, DE 19809-2177

Mailing address

507 Philadephila Pike
Wilmington, DE 19809-2177
Phone (302) 762-8989

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
I20230504001396 DE Practitioner - Clinical Social Worker 3072978675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Survivors of Abuse in Recovery IncGroup PAC ID 1850294067, 8 clinicians

Practice addresses (Care Compare)

405 Foulk Rd
Wilmington, DE 19803-3809
Phone 3026553953108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0011965DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Survivors of Abuse in Recovery, Inc. Clinical CurrentSince Mar 28, 2023 Accepting new patients
Child, Inc PastSince Oct 31, 2021 Accepting new patients

Locations

405 Foulk Rd
Wilmington, DE 19803
Phone (302) 655-1100

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1740944800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 PHILADEPHILA PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092177",
            "telephone_number": "302-762-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 PHILADEPHILA PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092177",
            "telephone_number": "302-762-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGRANDE",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0011965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.