Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Rose Immediato, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1013793918

Nicole Rose Immediato, MS, CCC-SLP is a Qualified Speech Language Pathologist in Wilmington, Delaware. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
10
Licensed in
DE
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

5147 W Woodmill Dr Ste 21
Wilmington, DE 19808-4067
Phone: (302) 999-0702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence O1-0001611 (DE)

Record details

NPI number1013793918
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 6, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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