Provider Demographics
NPI:1477728921
Name:DELGOSHA, ANGELINA M (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:ANGELINA
Middle Name:M
Last Name:DELGOSHA
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 ALBERTA DR STE 211
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1814
Mailing Address - Country:US
Mailing Address - Phone:716-837-6705
Mailing Address - Fax:716-837-6759
Practice Address - Street 1:315 ALBERTA DR STE 211
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1814
Practice Address - Country:US
Practice Address - Phone:716-837-6705
Practice Address - Fax:716-837-6759
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0742831041C0700X
NYR0742831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical