Provider Demographics
NPI:1780559377
Name:DELANCEY, WINTER LYNN (CDCA)
Entity type:Individual
Prefix:
First Name:WINTER
Middle Name:LYNN
Last Name:DELANCEY
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 BELFORD ST
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43724-1101
Mailing Address - Country:US
Mailing Address - Phone:740-509-8550
Mailing Address - Fax:
Practice Address - Street 1:525 BELFORD ST
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:OH
Practice Address - Zip Code:43724-1101
Practice Address - Country:US
Practice Address - Phone:740-509-8550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH193855101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)