Provider Demographics
NPI:1033734991
Name:SUMTER, DELIA (MSW,MPA)
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:
Last Name:SUMTER
Suffix:
Gender:F
Credentials:MSW,MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 SPEEDWELL COURT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-4228
Mailing Address - Country:US
Mailing Address - Phone:917-319-5063
Mailing Address - Fax:
Practice Address - Street 1:2113 SPEEDWELL COURT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4228
Practice Address - Country:US
Practice Address - Phone:917-319-5063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker