Katelyn Delacruz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW17895 Issued in FL

Practice address

8465 Merchants Way Ste 104
Jacksonville, FL 32222-2858

Phone

(904) 379-8675

Fax

(904) 423-0490

NPI assigned

Oct 26, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• River'S Edge Counseling, PLLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1053981852

  Clinical

  NPD

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1962274613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 MERCHANTS WAY STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222858",
            "telephone_number": "904-379-8675",
            "fax_number": "904-423-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 MERCHANTS WAY STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222858",
            "telephone_number": "904-379-8675",
            "fax_number": "904-423-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW17895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailey Del Valle
• Stefanie Marie Del Valle
• Jan Dela Cruz, DO
• Megan Dela Rea
• Jeniffer Delacruz
• Richard Alan Delacruz, MD
• Nicole Delagrange, MS
• Julisa Skeels Delamar, LCSW
• Patience Yolanda Delancy, APRN
• Precious Nicole Delancy, LCSW

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.