| Diamond State Counseling, Llc | |
|
2644 Kirkwood Highway Suite 250 Newark DE 19711 | |
| (302) 683-1055 | |
| (302) 683-1312 |
| Full Name | Diamond State Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2644 Kirkwood Highway, Newark, Delaware |
| Authorized Official Name and Position | Elizabeth M Bowman (CEO, PSYCHOTHERAPIST) |
| Authorized Official Contact | 3026831055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond State Counseling, Llc 2644 Kirkwood Highway Suite 250 Newark DE 19711 Ph: (302) 683-1055 | Diamond State Counseling, Llc 2644 Kirkwood Highway Suite 250 Newark DE 19711 Ph: (302) 683-1055 |
| NPI Number | 1760854590 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 06/05/2018 |
| Medicare PECOS PAC ID | 1850700899 |
|---|---|
| Medicare Enrollment ID | O20210504002084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760854590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PC-000624 (Delaware) | Primary |
| Provider Name | Margaret Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952619157 PECOS PAC ID: 0042485930 Enrollment ID: I20111205000155 |
| Provider Name | Lisa Darby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811137151 PECOS PAC ID: 6406021757 Enrollment ID: I20111214000903 |
| Provider Name | Amy L Parisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053836429 PECOS PAC ID: 5890052476 Enrollment ID: I20171207000504 |
| Provider Name | Michael Peyton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306125844 PECOS PAC ID: 2961767215 Enrollment ID: I20180607001846 |
| Provider Name | George Zappalorta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033556303 PECOS PAC ID: 6608169263 Enrollment ID: I20220216000302 |
| Provider Name | Mallory Kristen Groff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255961959 PECOS PAC ID: 4688003551 Enrollment ID: I20240110005040 |
| Provider Name | Martha Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427739002 PECOS PAC ID: 3870945314 Enrollment ID: I20240119001967 |
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