| 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 |