Provider Demographics
NPI:1669722997
Name:DELANEY, STEPHANIE DENISE (BSW;LBSW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:DENISE
Last Name:DELANEY
Suffix:
Gender:F
Credentials:BSW;LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7502 BERTHAS PL
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1986
Mailing Address - Country:US
Mailing Address - Phone:423-320-7031
Mailing Address - Fax:
Practice Address - Street 1:7502 BERTHAS PLACE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:AMERICA
Practice Address - Zip Code:37421
Practice Address - Country:UM
Practice Address - Phone:423-320-7031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator