Provider Demographics
NPI:1184873846
Name:DELGADO, VICTOR RUBEN (LMSW)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:RUBEN
Last Name:DELGADO
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 MENORES AVENUE
Mailing Address - Street 2:UNIT 729
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:917-699-6563
Mailing Address - Fax:
Practice Address - Street 1:2825 THIRD AVENUE
Practice Address - Street 2:SUITE 402
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455
Practice Address - Country:US
Practice Address - Phone:917-699-6563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9911101YA0400X
NY060622104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)