Individual provider Active NPI

Christina Lanouette, LCSW

  • Clinical Social Worker
  • Dover, DE
National Provider Identifier
1952410508
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000688 Issued in DE
Practice address
707 Walker Rd
Dover, DE 19904-2768
Phone
(302) 674-2380
Fax
(203) 674-1266
NPI assigned
Aug 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0000688 DE Primary

Addresses

Primary practice location

707 Walker Rd
Dover, DE 19904-2768

Mailing address

707 Walker Rd
Dover, DE 19904-2768
Phone (302) 674-2380

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100503000280 DE Practitioner - Clinical Social Worker 9032247663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A Center for Mental Wellness, Inc.Group PAC ID 1456408897, 12 clinicians

Practice addresses (Care Compare)

121 W Loockerman St
Dover, DE 19904-7325
Phone (302) 674-1397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Center for Mental Wellness, Inc. CurrentSince Jan 13, 2010 Accepting new patients
F.H. Everett & Assoc. Inc Clinical Past Accepting new patients

Locations

121 W Loockerman St
Dover, DE 19904
Phone (302) 674-1397

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952410508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WALKER RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042768",
            "telephone_number": "302-674-2380",
            "fax_number": "203-674-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WALKER RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042768",
            "telephone_number": "302-674-2380",
            "fax_number": "203-674-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANOUETTE",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.