Danialle Delosh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17574 Issued in LA

Practice address

4610A N Illinois St Unit 132
Fairview Heights, IL 62208-3407

Phone

(719) 922-5236

NPI assigned

Aug 21, 2023

Last updated

Dec 15, 2025By the provider in NPPES

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 MO

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• A W Stevenson LLC

  dba Ellie Mental Health

  • Professional Counselor
  • Saint Charles, MO
  • NPI 1396469060
  Medicare reassignment
• Rehabilitation Services of Southwest Louisiana, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Charles, LA
  • NPI 1366777229
  NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1902680184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610A N ILLINOIS ST UNIT 132",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610A N ILLINOIS ST UNIT 132",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083407",
            "telephone_number": "719-922-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOSH",
        "first_name": "DANIALLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "17574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashid Ahmed Dalal, MD
• Kisha R Davis
• Lindsey Elizabeth Davis
• Micael Dean-Stanton, SLP
• Trenda Deaver, PT
• Diversified Medical Services LLC
• Richard Paul Donjon, R.PH.
• Stephanie Douglas
• Alex Charles Dow, PHARMD
• Ashley Duffie, QMHP, MA

• Clinical Social Worker in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.