Provider Demographics
NPI:1407189996
Name:DALY, ELLEN CLAIRE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:CLAIRE
Last Name:DALY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 BLAIRS FERRY RD
Mailing Address - Street 2:UNIT A
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-1900
Mailing Address - Country:US
Mailing Address - Phone:319-398-6721
Mailing Address - Fax:
Practice Address - Street 1:1340 BLAIRS FERRY RD
Practice Address - Street 2:UNIT A
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-1900
Practice Address - Country:US
Practice Address - Phone:319-398-6721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-15
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor