Provider Demographics
NPI:1184145468
Name:HERMAN, DELANEY PAIGE (LCSW-S)
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:PAIGE
Last Name:HERMAN
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:DELANEY
Other - Middle Name:PAIGE
Other - Last Name:BLOEMKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:650 SCARBOUROUGH
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:78133-4529
Mailing Address - Country:US
Mailing Address - Phone:830-964-4390
Mailing Address - Fax:
Practice Address - Street 1:4910 MUELLER BLVD STE 103
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-3079
Practice Address - Country:US
Practice Address - Phone:512-324-0040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX644091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical