Active NPI
Jessica Di Sanzo, LCSW
- Clinical Social Worker
- Delphi, IN
National Provider Identifier
1831795129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34010971A
- Practice address
- 901 Prince William Rd
Delphi, IN 46923-1758 - Phone
- (765) 564-3016
- Fax
- (765) 564-2608
- NPI assigned
- Dec 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33009830A | IN | |
| Clinical Social Worker | 1041C0700X | 34010971A | IN | Primary |
Addresses
Primary practice location
901 Prince William Rd
Delphi, IN 46923-1758
Mailing address
6726 S 1000 E
Lafayette, IN 47905-9443
Phone (765) 242-6461
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EHR | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33009830A | IN | MD | Social Worker |
| 34010971A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1831795129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6726 S 1000 E",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479059443",
"telephone_number": "765-242-6461",
"fax_number": "765-564-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 PRINCE WILLIAM RD",
"city": "DELPHI",
"state": "IN",
"postal_code": "469231758",
"telephone_number": "765-564-3016",
"fax_number": "765-564-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI SANZO",
"first_name": "JESSICA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33009830A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34010971A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EHR",
"affiliation": "N",
"endpointDescription": "Can send via our EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure",
"address_1": "901 Prince William Rd",
"city": "Delphi",
"state": "IN",
"country_code": "US",
"postal_code": "469231758",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Delphi, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.