Provider Demographics
NPI:1689283202
Name:DELAP, JENNY K (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:K
Last Name:DELAP
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 1:202 E VISTA ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1327
Mailing Address - Country:US
Mailing Address - Phone:859-312-0682
Mailing Address - Fax:
Practice Address - Street 1:202 E VISTA ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1327
Practice Address - Country:US
Practice Address - Phone:859-312-0682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2532791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical