Kristin Snodgrass Deleo, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Raleigh, NC
NPI 1912241985 · NPPES record last updated Jan 30, 2014
Key facts
- NPI
- 1912241985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C008214 (NC)
- Practice address
- 107 Sunnybrook Rd
Raleigh, NC 27610-1827 - Phone
- (919) 250-1260
- Fax
- (919) 747-0551
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Solas Health PLLC
Practice addresses (Care Compare)
8001 Creedmoor Rd
Suite 107
Raleigh, NC 27613-4396
Phone (919) 460-7246
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130618000431 | NC | Practitioner - Clinical Social Worker | 8224277546 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C008214 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solas Health PLLC | Current |
Accepting new patients | |
| Pinehurst OBGYN Associates PA | Past | Accepting new patients |
Locations
285 Olmsted Blvd
Ste 1
Pinehurst, NC 28374
Phone (910) 295-7246
8001 Creedmoor Rd
Ste 107
Raleigh, NC 27613
Phone (919) 460-7246
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C008214 | NC | Yes |
Addresses
Primary practice location
107 Sunnybrook Rd
Raleigh, NC 27610-1827
Mailing address
107 Sunnybrook Rd
Raleigh, NC 27610-1827
Phone (919) 250-1260
NPI Registry JSON
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1912241985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SUNNYBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101827",
"telephone_number": "919-250-1260",
"fax_number": "919-747-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 SUNNYBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101827",
"telephone_number": "919-250-1260",
"fax_number": "919-747-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEO",
"first_name": "KRISTIN",
"middle_name": "SNODGRASS",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
- Delaby Brace and Limb of Raleigh
- Jana Delarosa
- Maria Victoria Delbono
- Tonya J Delborne
- Alexis Victoria Delconte
- Caroline Womack Delgado
- Jaime Nicole Delgenio
- Lillyana Delisle-Preas
- Jenna Della Della Jacono
- Katherine Della Rocco
All providers in Raleigh, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.