Provider Demographics
NPI:1013494335
Name:DELONEY, ALBERT JAMES IV (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:JAMES
Last Name:DELONEY
Suffix:IV
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8316 S MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-5912
Mailing Address - Country:US
Mailing Address - Phone:708-297-8703
Mailing Address - Fax:
Practice Address - Street 1:1616 E 50TH PL APT 8D
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-3111
Practice Address - Country:US
Practice Address - Phone:929-525-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0197121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical