Provider Demographics
NPI:1598958662
Name:DELAUNE, TANYA GREEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:GREEN
Last Name:DELAUNE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 FOURTH STREET
Mailing Address - Street 2:
Mailing Address - City:WESTWEGO
Mailing Address - State:LA
Mailing Address - Zip Code:70094
Mailing Address - Country:US
Mailing Address - Phone:504-341-0645
Mailing Address - Fax:504-341-0689
Practice Address - Street 1:300 FOURTH ST
Practice Address - Street 2:
Practice Address - City:WESTWEGO
Practice Address - State:LA
Practice Address - Zip Code:70094-4335
Practice Address - Country:US
Practice Address - Phone:504-341-0645
Practice Address - Fax:504-341-0689
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALCSW 32481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical