Provider Demographics
NPI:1023359403
Name:DALEO, MATTHEW PETER (MSW)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:PETER
Last Name:DALEO
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 1:1766 CAROL LYNN DR
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-3282
Mailing Address - Country:US
Mailing Address - Phone:657-461-9733
Mailing Address - Fax:
Practice Address - Street 1:1766 CAROL LYNN DR
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-3282
Practice Address - Country:US
Practice Address - Phone:657-461-9733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-08
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34011773A1041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical