Provider Demographics
NPI:1710753215
Name:MELDMAN, DELANIE (ACSW)
Entity Type:Individual
Prefix:
First Name:DELANIE
Middle Name:
Last Name:MELDMAN
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:DELANIE
Other - Middle Name:
Other - Last Name:STICKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACSW
Mailing Address - Street 1:509 ORCHID AVE
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-2424
Mailing Address - Country:US
Mailing Address - Phone:949-467-4070
Mailing Address - Fax:
Practice Address - Street 1:16052 BEACH BLVD STE 218
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3809
Practice Address - Country:US
Practice Address - Phone:949-467-4070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2787861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical