Patricia Balducci, LCSWC
NPI 1558421909 · Clinical Social Worker · Millsboro, DE
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Patricia Balducci, LCSWC is a Clinical Social Worker provider in Millsboro, DE (NPI 1558421909).
Provider details
- NPI number
- 1558421909
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSWC
- Sex
- Female
- Sole proprietor
- No
- License
- 03640 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
343 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 1 Hour90837 | 191 | $111 |
| Psychotherapy, 45 Minutes90834 | 141 | $65 |
| Psychiatric Diagnostic Evaluation90791 | 11 | $132 |
Typical Medicare-allowed amounts for these services range $65–$132 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (3)
- 1000 Midway Dr Ste 3Harrington, DE 19952-2448Phone: (800) 818-8680Fax: (800) 818-8680
- 1340 Middleford Rd Ste 401Seaford, DE 19973-3665Phone: (800) 818-8680Fax: (800) 818-8680
- 49 Rock Springs RdConowingo, MD 21918-1352Phone: (410) 378-9696Fax: (410) 378-9922
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2019-09-19
Frequently asked questions
- What is Patricia Balducci's NPI number?
- Patricia Balducci's National Provider Identifier (NPI) is 1558421909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patricia Balducci's specialty?
- Patricia Balducci is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Patricia Balducci located?
- Patricia Balducci's practice location on file with NPPES is 29787 John J Williams Hwy Unit 8, Millsboro, DE 19966-4097.
- What is Patricia Balducci's phone number?
- The practice phone number listed in the NPPES registry for Patricia Balducci is (800) 818-8680.
- Does Patricia Balducci accept Medicare?
- Patricia Balducci is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Patricia Balducci's NPI active?
- Yes — Patricia Balducci's NPI (1558421909) is active in the NPPES registry as of the last update on 2019-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.