Active NPI
Jill Deluca - Dimarco, LCSW
- Clinical Social Worker
- Marrero, LA
National Provider Identifier
1841505849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4224
- Practice address
- 4036 Ellen Dr
Marrero, LA 70072-6222 - Phone
- (504) 982-0237
- NPI assigned
- Aug 13, 2010
- Last updated
- Jan 23, 2014
- 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 | 4224 | LA | Primary |
Addresses
Primary practice location
4036 Ellen Dr
Marrero, LA 70072-6222
Mailing address
4036 Ellen Dr
Marrero, LA 70072-6222
Phone (504) 982-0237
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4224 | LA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1841505849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4036 ELLEN DR",
"city": "MARRERO",
"state": "LA",
"postal_code": "700726222",
"telephone_number": "504-982-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4036 ELLEN DR",
"city": "MARRERO",
"state": "LA",
"postal_code": "700726222",
"telephone_number": "504-982-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCA - DIMARCO",
"first_name": "JILL",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-13",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "4224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.