Provider Demographics
NPI:1356480610
Name:DELARM, JOAN SHARON (MSW LCSWR ACSW DCSW)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:SHARON
Last Name:DELARM
Suffix:
Gender:F
Credentials:MSW LCSWR ACSW DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 ANDREWS ST
Mailing Address - Street 2:
Mailing Address - City:MASSENA
Mailing Address - State:NY
Mailing Address - Zip Code:13662
Mailing Address - Country:US
Mailing Address - Phone:315-764-9033
Mailing Address - Fax:315-764-9033
Practice Address - Street 1:74 ANDREWS ST
Practice Address - Street 2:
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662
Practice Address - Country:US
Practice Address - Phone:315-764-9033
Practice Address - Fax:315-764-9033
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0328361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY005138545601OtherCIGNA BEHAVIORAL HEALTH
MI005138545601OtherVALUE OPTIONS
NY56158AMedicare PIN
NY56158BMedicare PIN