Provider Demographics
NPI:1841675022
Name:WINKFIELD, PAULETTE LAVINIA (CADC, CCDP)
Entity type:Individual
Prefix:
First Name:PAULETTE
Middle Name:LAVINIA
Last Name:WINKFIELD
Suffix:
Gender:F
Credentials:CADC, CCDP
Other - Prefix:MISS
Other - First Name:PAULETTE
Other - Middle Name:LAVINIA
Other - Last Name:CANNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1241 COLLEGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-8713
Mailing Address - Country:US
Mailing Address - Phone:302-735-7790
Mailing Address - Fax:302-735-3652
Practice Address - Street 1:1241 COLLEGE PARK DR
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-8713
Practice Address - Country:US
Practice Address - Phone:302-735-7790
Practice Address - Fax:302-735-3652
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1483101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)