Provider Demographics
NPI:1972033454
Name:MILLS, ALBERT (MSW)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:MILLS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 W 36TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-2012
Mailing Address - Country:US
Mailing Address - Phone:302-765-3411
Mailing Address - Fax:
Practice Address - Street 1:509 W 36TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-2012
Practice Address - Country:US
Practice Address - Phone:302-765-3411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE104100000X, 102X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102X00000XBehavioral Health & Social Service ProvidersPoetry TherapistGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty