Lighthouse Therapeutic Mentoring & Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q10001239 Issued in DE

Legal business name

LIGHTHOUSE THERAPEUTIC MENTORING & COUNSELING SERVICES, LLC

Practice address

700 N Lombard St
Wilmington, DE 19801-4217

Phone

(302) 419-7343

NPI assigned

Dec 3, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Duwaua Herbert, LCSWNPI 1639501661

Title

Owner

Phone

(302) 419-7343

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse Therapeutic Mentoring & Counseling Services Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duwaua Herbert, LCSW

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1639501661
  NPD (past) Authorized official

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1801293022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 LOBDELL ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198015435",
            "telephone_number": "302-419-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N LOMBARD ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198014217",
            "telephone_number": "302-419-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE THERAPEUTIC MENTORING & COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "DUWAUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-419-7343",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10001239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Therapeutic Mentoring & Counseling Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Social Worker in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.