Active NPI
Jessica Delisio, LCSW
- Clinical Social Worker
- North Chesterfield, VA
National Provider Identifier
1932657046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904009281
- Practice address
- 6603 Irongate SQ
North Chesterfield, VA 23234-6081 - Phone
- (804) 743-0960
- NPI assigned
- Sep 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904009281 | PA | Primary |
Addresses
Primary practice location
6603 Irongate SQ
North Chesterfield, VA 23234-6081
Mailing address
2852 Turner Oaks Dr
Goochland, VA 23063-2625
Phone (804) 240-0229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904009281 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474156800000",
"number": "1932657046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2852 TURNER OAKS DR",
"city": "GOOCHLAND",
"state": "VA",
"postal_code": "230632625",
"telephone_number": "804-240-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6603 IRONGATE SQ",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232346081",
"telephone_number": "804-743-0960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELISIO",
"first_name": "JESSICA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-18",
"last_updated": "2016-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "0904009281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.