Individual provider Active NPI

Lisa Marie Darby, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1811137151
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q10000923 Issued in DE
Practice address
3608 Lancaster Pike
Wilmington, DE 19805-1509
Phone
(443) 668-6555
NPI assigned
Feb 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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 Q10000923 DE Primary

Addresses

Primary practice location

3608 Lancaster Pike
Wilmington, DE 19805-1509

Mailing address

112 Eastfield Rd
Newark, DE 19713-2708
Phone (443) 668-6555

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
I20111214000903 DE Practitioner - Clinical Social Worker 6406021757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diamond State Counseling LLCGroup PAC ID 1850700899, 6 clinicians

Practice addresses (Care Compare)

4550 Linden Hill Rd
Suite 152
Wilmington, DE 19808-2909
Phone (302) 683-1055

4550 New Linden Hill Rd
Suite 152
Wilmington, DE 19808-2909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q10000923DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond State Counseling, LLC CurrentSince Aug 23, 2021 Accepting new patients

Locations

4550 Linden Hill Rd
Ste 152
Wilmington, DE 19808
Phone (302) 683-1055

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.lisadarby@148542.advancedmd-direct.com

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1811137151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 EASTFIELD RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132708",
            "telephone_number": "443-668-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 LANCASTER PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051509",
            "telephone_number": "443-668-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBY",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.