Provider Demographics
NPI:1639685324
Name:TRANSITIONS DELAWARE
Entity Type:Organization
Organization Name:TRANSITIONS DELAWARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLESHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MDIV
Authorized Official - Phone:302-440-6737
Mailing Address - Street 1:307 VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-1356
Mailing Address - Country:US
Mailing Address - Phone:302-440-6737
Mailing Address - Fax:302-482-4728
Practice Address - Street 1:1305 KIRKWOOD HWY
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-2121
Practice Address - Country:US
Practice Address - Phone:302-440-6737
Practice Address - Fax:302-482-4728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-0001024104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE250540525Medicaid