Provider Demographics
NPI:1205115060
Name:DELANEY, LAURA SEIDEL
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:SEIDEL
Last Name:DELANEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1239 C ST SE
Mailing Address - Street 2:APT 1
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2234
Mailing Address - Country:US
Mailing Address - Phone:301-807-6285
Mailing Address - Fax:202-698-2466
Practice Address - Street 1:64 NEW YORK AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3320
Practice Address - Country:US
Practice Address - Phone:202-698-2431
Practice Address - Fax:202-698-2466
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500789741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical