| Diane Necastro Lcsw Llc | |
|
1500 Shallcross Ave Ste 2 Wilmington DE 19806-3037 | |
| (302) 379-8959 | |
| Not Available |
| Full Name | Diane Necastro Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1500 Shallcross Ave Ste 2, Wilmington, Delaware |
| Authorized Official Name and Position | Diane Necastro (OWNER) |
| Authorized Official Contact | 3023798959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Necastro Lcsw Llc 1500 Shallcross Ave Ste 2 Wilmington DE 19806-3037 Ph: (302) 379-8959 | Diane Necastro Lcsw Llc 1500 Shallcross Ave Ste 2 Wilmington DE 19806-3037 Ph: (302) 379-8959 |
| NPI Number | 1063930956 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 03/01/2018 |
| Medicare PECOS PAC ID | 7719243864 |
|---|---|
| Medicare Enrollment ID | O20171113002534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063930956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | Q1-0000379 (Delaware) | Primary |
| Provider Name | Diane Necastro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255430393 PECOS PAC ID: 5092071142 Enrollment ID: I20171107000976 |
| Provider Name | Bruce T Kelsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811095987 PECOS PAC ID: 7012322977 Enrollment ID: I20210226001887 |
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