Provider Demographics
NPI:1538900972
Name:DELGADO, SABRINA ASHLEY (LMSW)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:ASHLEY
Last Name:DELGADO
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 1:19 MENCEL CIR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610-1503
Mailing Address - Country:US
Mailing Address - Phone:203-767-5243
Mailing Address - Fax:
Practice Address - Street 1:19 MENCEL CIR
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-1503
Practice Address - Country:US
Practice Address - Phone:203-767-5243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7069104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker