Individual provider Active NPI

JD Deloney III, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1760061899
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25191 Issued in MD
Practice address
1232 N Gay St
Baltimore, MD 21213-3137
Phone
(612) 386-7206
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 25191 MD Primary

Addresses

Primary practice location

1232 N Gay St
Baltimore, MD 21213-3137

Mailing address

1232 N Gay St
Baltimore, MD 21213-3137
Phone (612) 386-7206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20251201001059 MD Practitioner - Clinical Social Worker 6901399856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

516 N Charles St
Suite 409
Baltimore, MD 21201-5044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trifecta Wellness Center Mental Health CurrentSince Aug 31, 2020 Accepting new patients

Locations

516 N Charles St
Ste 409
Baltimore, MD 21201
Phone (612) 386-7206

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1760061899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 N GAY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133137",
            "telephone_number": "612-386-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 N GAY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133137",
            "telephone_number": "612-386-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONEY",
        "first_name": "JD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.