Provider Demographics
NPI:1619093341
Name:WARNER, DAPHNE M (LCSW,MSW,BS)
Entity Type:Individual
Prefix:
First Name:DAPHNE
Middle Name:M
Last Name:WARNER
Suffix:
Gender:F
Credentials:LCSW,MSW,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 CLUBHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-2264
Mailing Address - Country:US
Mailing Address - Phone:302-475-6939
Mailing Address - Fax:
Practice Address - Street 1:401 N BROAD ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1037
Practice Address - Country:US
Practice Address - Phone:302-376-0621
Practice Address - Fax:302-376-6219
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ100006601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical