Provider Demographics
NPI:1477678761
Name:MURPHY CASSIDY, DELORES J (MSW LCSWP)
Entity Type:Individual
Prefix:MS
First Name:DELORES
Middle Name:J
Last Name:MURPHY CASSIDY
Suffix:
Gender:F
Credentials:MSW LCSWP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6836 108TH ST
Mailing Address - Street 2:APT B42
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3393
Mailing Address - Country:US
Mailing Address - Phone:910-246-6573
Mailing Address - Fax:
Practice Address - Street 1:128-10 SEDWAY PLACE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434
Practice Address - Country:US
Practice Address - Phone:910-603-3189
Practice Address - Fax:910-692-9933
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP03500211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical