Active NPI
Delia E. Fuentes, LCSW
- Clinical Social Worker
- Winter Park, FL
National Provider Identifier
1821104837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 7078
- Practice address
- 1850 Lee Rd
Suite 114
Winter Park, FL 32789-2104 - Phone
- (407) 301-3460
- Fax
- (904) 592-6621
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 7078 | FL | Primary |
Addresses
Primary practice location
1850 Lee Rd
Suite 114
Winter Park, FL 32789-2104
Mailing address
1850 Lee Rd
Suite 114
Winter Park, FL 32789-2104
Phone (407) 301-3460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW7078 | Other | FL | LICENSED CLINICAL SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 7078 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376179200000",
"number": "1821104837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 LEE RD",
"address_2": "SUITE 114",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892104",
"telephone_number": "407-301-3460",
"fax_number": "904-592-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 LEE RD",
"address_2": "SUITE 114",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892104",
"telephone_number": "407-301-3460",
"fax_number": "904-592-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "DELIA",
"middle_name": "E.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2013-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 7078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "SW7078",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.