Provider Demographics
NPI:1649341314
Name:DELPILAR, MARIANO (LMSW)
Entity type:Individual
Prefix:MR
First Name:MARIANO
Middle Name:
Last Name:DELPILAR
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:603 WEST 138TH STREET
Mailing Address - Street 2:APT 61
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031
Mailing Address - Country:US
Mailing Address - Phone:212-690-9111
Mailing Address - Fax:718-665-1174
Practice Address - Street 1:1285 FULTON AVE
Practice Address - Street 2:LIFE RECOVERY CENTER BRONX LEBANON CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-3401
Practice Address - Country:US
Practice Address - Phone:718-518-3755
Practice Address - Fax:718-518-3710
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY07314811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical