Provider Demographics
NPI:1356894679
Name:DELORENZO, DELIA (LCSW, LCADC)
Entity type:Individual
Prefix:
First Name:DELIA
Middle Name:
Last Name:DELORENZO
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-2013
Mailing Address - Country:US
Mailing Address - Phone:201-887-5837
Mailing Address - Fax:
Practice Address - Street 1:1100 CORNWALL RD STE 111
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-2411
Practice Address - Country:US
Practice Address - Phone:732-605-6353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-03
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06182300104100000X
NJ44SC059050001041C0700X
NJ37LC00272200101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical