| Soar | |
|
405 Foulk Rd Wilmington DE 19803-3809 | |
| (302) 655-3953 | |
| (302) 655-1149 |
| Full Name | Soar |
|---|---|
| Speciality | Psychologist |
| Location | 405 Foulk Rd, Wilmington, Delaware |
| Authorized Official Name and Position | Alyssa K Dunn (INSURANCE DIRECTOR) |
| Authorized Official Contact | 3023835643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soar 405 Foulk Rd Wilmington DE 19803-3809 Ph: (302) 655-3953 | Soar 405 Foulk Rd Wilmington DE 19803-3809 Ph: (302) 655-3953 |
| NPI Number | 1154386696 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 08/12/2025 |
| Certification Date | 08/12/2025 |
| Medicare PECOS PAC ID | 1850294067 |
|---|---|
| Medicare Enrollment ID | O20040127000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154386696 | NPI | - | NPPES |
| 1000025878 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 103TF0000X | Psychologist - Family | () | Primary |
| 1041C0700X | Social Worker - Clinical | () | Secondary |
| Provider Name | Valerie C Marek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154386779 PECOS PAC ID: 3375446594 Enrollment ID: I20040127000861 |
| Provider Name | Constance Deptula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306034814 PECOS PAC ID: 2365522836 Enrollment ID: I20090106000246 |
| Provider Name | Rebecca L Zenkert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538461801 PECOS PAC ID: 9537390380 Enrollment ID: I20140320001720 |
| Provider Name | Mone't Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699333195 PECOS PAC ID: 2961829098 Enrollment ID: I20200903000513 |
| Provider Name | Maidah Khalid-janney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538313242 PECOS PAC ID: 0648665828 Enrollment ID: I20220325000796 |
| Provider Name | Jessica Legrande |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740944800 PECOS PAC ID: 3072978675 Enrollment ID: I20230504001396 |
| Provider Name | Nicole Dallas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306522578 PECOS PAC ID: 1759745235 Enrollment ID: I20230918000393 |
| Provider Name | Karynna Bequette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801579727 PECOS PAC ID: 0143674630 Enrollment ID: I20231003000828 |
| Provider Name | Shirley Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417389818 PECOS PAC ID: 4082067293 Enrollment ID: I20240124001371 |
| Provider Name | Jessica Gumienny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497527998 PECOS PAC ID: 0941653000 Enrollment ID: I20240125001885 |
| Provider Name | Anah Galloway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578176459 PECOS PAC ID: 5799138764 Enrollment ID: I20240125002516 |
| Provider Name | Heather Mcgonigle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255842241 PECOS PAC ID: 8729431374 Enrollment ID: I20240130002857 |
| Provider Name | Stephanie Criss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447750955 PECOS PAC ID: 0547613002 Enrollment ID: I20240131003129 |
| Provider Name | Ashley Santana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336603091 PECOS PAC ID: 4789037243 Enrollment ID: I20240131003288 |
| Provider Name | Daniel Cherneski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194004242 PECOS PAC ID: 0547613010 Enrollment ID: I20240131003483 |
| Provider Name | Amber Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962279562 PECOS PAC ID: 8022550896 Enrollment ID: I20240607001836 |
| Provider Name | Margo Elsayd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427822782 PECOS PAC ID: 0648718858 Enrollment ID: I20240820000873 |
| Provider Name | Kimberly Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588278600 PECOS PAC ID: 3173054996 Enrollment ID: I20241004000136 |
| Provider Name | Alexandra Weinfeld |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558131409 PECOS PAC ID: 8224535430 Enrollment ID: I20251006002835 |
| Provider Name | Barbara Slabaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639866874 PECOS PAC ID: 0042717274 Enrollment ID: I20251006003636 |
| Provider Name | Lisa Pollock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962231647 PECOS PAC ID: 7315444270 Enrollment ID: I20251007003509 |
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