The Ebright Collaborative, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE EBRIGHT COLLABORATIVE, LLC

Practice address

607 W 18TH St
Wilmington, DE 19802-4707

Phone

(215) 370-2821

NPI assigned

Sep 13, 2013

Last updated

Jul 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Scott Ditty, DSW, LCSWNPI 1952581241

Title

President

Phone

(215) 370-2821

Specialties & licenses 1

Addresses

Other names 1

• The Ebright Foundation, LLC Former legal business name

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Scott Ditty, MSW, LCSW

  • Clinical Social Worker
  • Collegeville, PA
  • NPI 1952581241
  NPD (past) Authorized official
• John Anthony Bickel III, L.C.S.W.

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1881006161
  NPD (past)
• Samantha Davis

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1336832583
  NPD (past)
• Dora D Eaton, MBA, MS, LPC

  • Mental Health Counselor
  • Wilmington, DE
  • NPI 1346881075
  NPD (past)
• Dana Marguerite Morelli, LCSW

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1730935974
  NPD (past)
• Frances A Fitzgerald, LSW

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1720744311
  NPD (past)
• Karen Louise Kelley

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1902342991
  NPD (past)
• Lauren Levy, LPC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1952053209
  NPD (past)

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1982039509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W 18TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024707",
            "telephone_number": "302-888-2233",
            "fax_number": "302-888-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W 18TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024707",
            "telephone_number": "215-370-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EBRIGHT COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "DITTY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-370-2821",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ebright Foundation, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.