DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ILYSSA LYNN BOSESKI LCSW, MSW, MED

MEDICARE: ILYSSA LYNN BOSESKI LCSW, MSW, MED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerQ1-0011815DE
21041C0700XClinical Social WorkerSW134698PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Q1-0011815OTHERDEDIVISION OF PROFESSIONAL REGULATION
2SW134698OTHERPAPENNSYLVANIA LICENSING SYSTEM

General Provider Information

NPI Number : 1538673942
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILYSSA LYNN BOSESKI LCSW, MSW, MED
Provider Business Mailing Address
First Line : 501 SILVERSIDE RD STE 24
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-1375
Country : US
Telephone Number : 267-571-1783
Fax Number :
Provider Business Practice Location Address
First Line : 501 SILVERSIDE RD STE 24
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-1375
Country : US
Telephone Number : 267-571-1783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2017
Last Update Date : 08/19/2022

Similar Medicare Providers

1285583443 — WELLSPRING CLINICAL SERVICES L.L.C.
Practice Location Address:
501 SILVERSIDE RD STE 25
WILMINGTON, DE
19809-1375
Practice Phone: 302-330-7471
Practice Fax: 877-539-2555
1346583622 — CHRISTINE GIARDINA LPCMH
Practice Location Address:
501 SILVERSIDE RD STE 15
WILMINGTON, DE
19809-1375
Practice Phone: 302-239-4025
Practice Fax:
1477157287 — ANDELS HOME CARE
Practice Location Address:
501 SILVERSIDE RD STE 28
WILMINGTON, DE
19809-1375
Practice Phone: 302-409-0578
Practice Fax:
1952028029 — MINDFUL HEALING COUNSELING & CONSULTING, LLC
Practice Location Address:
501 SILVERSIDE RD STE 20
WILMINGTON, DE
19809-1375
Practice Phone: 302-864-4146
Practice Fax:
1528812153 — ANNADALE OLADIMEJI
Practice Location Address:
501 SILVERSIDE RD STE 28
WILMINGTON, DE
19809-1375
Practice Phone: 302-798-3982
Practice Fax:
1932080215 — OPEN DOOR BEHAVIORAL HEALTH SERVICES LLC
Practice Location Address:
501 SILVERSIDE RD STE 16
WILMINGTON, DE
19809-1375
Practice Phone: 302-302-5301
Practice Fax:

Directions to “ ILYSSA LYNN BOSESKI LCSW, MSW, MED” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.