Active NPI
Optum Behavioral Care of Delaware, Inc.
- Clinical Social Worker
- Wilmington, DE
National Provider Identifier
1790679264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- OPTUM BEHAVIORAL CARE OF DELAWARE, INC.
- Practice address
- 3521 Silverside Rd Ste 2D
Wilmington, DE 19810-4958 - Phone
- (877) 622-0013
- NPI assigned
- Jun 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Stacey Bronson
- Title
- Vice President
- Phone
- (978) 222-3121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3521 Silverside Rd Ste 2D
Wilmington, DE 19810-4958
Mailing address
1 Optum Cir
Eden Prairie, MN 55344-2956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240129001039 | DE | Part B Supplier - Clinic/Group Practice | 4587017363 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wilmington, DE |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Counseling Psychologist
- Wilmington, DE
- NPI 1326810086
O20240129001039
National Provider Directory
National Provider Directory- Tax ID family
- Springfield de Wilmington
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Counseling Psychologist
- Wilmington, DE
- NPI 1326810086
-
- Counseling Psychologist
- Nashua, NH
- NPI 1043083595
-
- Clinical Social Worker
- Portland, ME
- NPI 1124907951
-
- Clinical Social Worker
- Williston, VT
- NPI 1154200970
-
- Clinical Social Worker
- Bedford, NH
- NPI 1336932557
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, DE
- NPI 1114241049
-
- Marriage & Family Therapist
- Doylestown, PA
- NPI 1548869019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1790679264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OPTUM CIR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553442956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 SILVERSIDE RD STE 2D",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104958",
"telephone_number": "877-622-0013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUM BEHAVIORAL CARE OF DELAWARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-07",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "BRONSON",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "STACEY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "978-222-3121"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.