Provider Demographics
NPI:1497257240
Name:CADMAN, MARY ELLEN (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ELLEN
Last Name:CADMAN
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 FOULK RD STE 104
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-2748
Mailing Address - Country:US
Mailing Address - Phone:302-478-1450
Mailing Address - Fax:
Practice Address - Street 1:1415 FOULK ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-1980
Practice Address - Country:US
Practice Address - Phone:302-478-1450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-07
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor