Emily Bercaw, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0001604 Issued in DE

Practice address

6 Boulder Rd
Wilmington, DE 19806-2004

Phone

(302) 319-2252

NPI assigned

Jul 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1992430573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 LIVINGSTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BOULDER RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062004",
            "telephone_number": "302-319-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCAW",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093841",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF DELAWARE,  LCSW",
            "identifier": "Q1-0001604",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE, LCSW",
            "identifier": "093841",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "123000",
            "affiliation": "N",
            "address_1": "6 Boulder Rd",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198062004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janay Benton
• Danielle M. Bentsen, MD
• Karynna Bequette, LCSW
• Peter Berardi
• David M Bercaw, MD
• Bruce Jeffrey Berg, M.D.
• Fanny J Berg, MD
• Nicholas J. Berg, M.D.
• Molly Ann Bergamo, NP
• Rennie Bergman

• Clinical Social Worker in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.