Provider Demographics
NPI:1164292140
Name:DELGADO, JOSE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:DELGADO
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 HALSEY RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-2203
Mailing Address - Country:US
Mailing Address - Phone:954-759-1411
Mailing Address - Fax:
Practice Address - Street 1:1000 TWINBROOK PKWY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20851-1201
Practice Address - Country:US
Practice Address - Phone:240-869-6377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical