| Denise C. Wall, Lcsw Llc | |
| 
					610 Main St Odessa DE 19730-2012  | |
| (302) 376-5259 | |
| (302) 689-4474 | 
| Full Name | Denise C. Wall, Lcsw Llc | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 610 Main St, Odessa, Delaware | 
| Authorized Official Name and Position | Denise Cecilia Wall (PSYCHO THERAPIST) | 
| Authorized Official Contact | 3023765259 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Denise C. Wall, Lcsw Llc Po Box 514 Odessa DE 19730-0514 Ph: (302) 376-5259  | Denise C. Wall, Lcsw Llc 610 Main St Odessa DE 19730-2012 Ph: (302) 376-5259  | 
| NPI Number | 1063754877 | 
|---|---|
| Provider Enumeration Date | 03/19/2013 | 
| Last Update Date | 03/19/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063754877 | NPI | - | NPPES | 
| 1041C0700X | Other | DE | TAXONOMY | 
| 1000032277 | Medicaid | DE | |
| 1093814972 | Other | DE | NPI TYPE I | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | Q1-0000304 (Delaware) | Primary | 
Erin Worden Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Main St, Odessa, DE 19730 Phone: 302-405-6845  |