Provider Demographics
NPI:1881251932
Name:DELANEY, ROSE (MSW)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 ROYALTY CIR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4465
Mailing Address - Country:US
Mailing Address - Phone:410-425-7209
Mailing Address - Fax:
Practice Address - Street 1:133 ROYALTY CIR
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4465
Practice Address - Country:US
Practice Address - Phone:410-425-7209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-23
Last Update Date:2022-07-05
Deactivation Date:2022-06-02
Deactivation Code:
Reactivation Date:2022-07-01
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator