Provider Demographics
NPI:1407749906
Name:LOMBARD, DELISKA KAY (LMSW)
Entity type:Individual
Prefix:
First Name:DELISKA
Middle Name:KAY
Last Name:LOMBARD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 VIRTUE WAY
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-5825
Mailing Address - Country:US
Mailing Address - Phone:256-541-8884
Mailing Address - Fax:
Practice Address - Street 1:140 CASTLE DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8674
Practice Address - Country:US
Practice Address - Phone:256-880-3455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL62611G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker