Delva Douglas, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P010035 Issued in NC

Practice address

1140 Kildaire Farm Rd Ste 206
Cary, NC 27511

Phone

(919) 633-1218

Fax

(919) 650-1420

NPI assigned

Sep 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MBS Restorative Centre PLLC

  • Clinic/Center
  • Cary, NC
  • NPI 1679075824
  Medicare reassignment NPD Authorized official
• Decassi Foundation

  • Mental Health Counselor
  • Cary, NC
  • NPI 1487205647
  NPD Authorized official

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1902275324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM RD STE 206",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114597",
            "telephone_number": "919-633-1218",
            "fax_number": "919-650-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM RD STE 206",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-633-1218",
            "fax_number": "919-650-1420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Kramer Ct",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275116652",
            "country_code": "US",
            "telephone_number": "919-633-9403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "DELVA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha E Dorroh, N.P.
• Usha Doshi, MD
• Erica Dossa, MSW, LCSWA
• Tracy Ann Dotterman, MS, ED, LPA
• Camia Douglas
• Mary Douglas
• Deborah Meredith Douglass, PT
• Madeleine Rose Douthit, DC
• George Delon Dove
• Kimberly Ann Dove

• Clinical Social Worker in Cary, NC
• Providers in Cary, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.

Verify at the official NPI Registry.