Organization Active NPI

Grace Pesikey Inc.

  • Clinical Social Worker
  • Rehoboth Beach, DE
National Provider Identifier
1891183547
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000149 Issued in DE
Legal business name
GRACE PESIKEY INC.
Practice address
19639 Plantations Rd.
Rehoboth Beach, DE 19971-9999
Phone
(302) 381-6648
NPI assigned
Jan 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Grace A. Pesikey, LCSW/CADCNPI 1902972920
Title
Sole Proprietor
Phone
(302) 381-6648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Q1-0000149 DE Primary

Addresses

Primary practice location

19639 Plantations Rd.
Rehoboth Beach, DE 19971-9999

Mailing address

32140 Oak Drive
Lewes, DE 19958-3663
Phone (302) 381-6648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150630000893 DE Part B Supplier - Clinic/Group Practice 0143548537 Receives reassigned benefits from 1 practitioner
Practice locations: Rehoboth Beach, DE

National Provider Directory

National Provider Directory

Locations

19369 Plantation Rd
Rehoboth Beach, DE 19971
Phone (302) 381-6648

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1891183547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32140 OAK DRIVE",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583663",
            "telephone_number": "302-381-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19639 PLANTATIONS RD.",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199719999",
            "telephone_number": "302-381-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PESIKEY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "PESIKEY",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "302-381-6648",
        "authorized_official_credential": "LCSW/CADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.