Individual provider Active NPI

Chelsea Delucia, LCSW

  • Clinical Social Worker
  • Wyandanch, NY
National Provider Identifier
1871959569
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
98151-01 Issued in NY
Practice address
234 Long Island Ave
Wyandanch, NY 11798-3015
Phone
(631) 920-8250
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NY
Clinical Social Worker 1041C0700X 98151-01 NY Primary

Addresses

Primary practice location

234 Long Island Ave
Wyandanch, NY 11798-3015

Mailing address

234 Long Island Ave
Wyandanch, NY 11798-3015
Phone (631) 920-8250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20241009002282 NY Practitioner - Clinical Social Worker 8224569686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Welllife Network IncGroup PAC ID 0749179570, 17 clinicians

Practice addresses (Care Compare)

234 Long Island Ave
Wyandanch, NY 11798-3015
Phone (631) 920-8250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
98151-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Welllife Network Inc CurrentSince Aug 28, 2024 Accepting new patients
Welllife Network Inc., Current Accepting new patients
Welllife Network Inc. CurrentSince Aug 28, 2024 Accepting new patients
Welllife Network Inc. Past Accepting new patients

Locations

14202 20th Ave
Fl 3
Flushing, NY 11351
Phone (718) 559-0516

14202 20th Ave
#3
Flushing, NY 11351

800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450

1985 Marcus Ave
Ste 100
New Hyde Park, NY 11042
Phone (347) 265-9985

20905 Jamaica Ave
Queens Village, NY 11428
Phone (631) 920-8302

11 Route 111
Smithtown, NY 11787
Phone (631) 920-8300

234 Long Island Ave
Wyandanch, NY 11798
Phone (631) 920-8250

Organizations & group practices 4

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1871959569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 LONG ISLAND AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983015",
            "telephone_number": "631-920-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 LONG ISLAND AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983015",
            "telephone_number": "631-920-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCIA",
        "first_name": "CHELSEA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "98151-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandanch, NY

Sources for this page

Verify at the official NPI Registry.