Provider Demographics
NPI:1609161363
Name:DELGADO, LILIAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LILIAN
Middle Name:
Last Name:DELGADO
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:P.O. BOX 4520
Mailing Address - Street 2:
Mailing Address - City:LIC
Mailing Address - State:NY
Mailing Address - Zip Code:11104
Mailing Address - Country:US
Mailing Address - Phone:212-752-2385
Mailing Address - Fax:
Practice Address - Street 1:61 W 62ND ST.
Practice Address - Street 2:APT. 4G
Practice Address - City:NY NY
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-752-2385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY#0732231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical