NPI 1174559918 · live from the CMS NPI Registry
A Center For Human Development Ltd
Social Worker, Clinical in Dover, DE. National Provider Identifier 1174559918, active.
NPI record
| NPI | 1174559918 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 148 S. Bradford St., Dover, DE 19904 |
| Practice phone | 302-736-1820 |
| Enumerated | June 23, 2006 |
| Last updated | January 17, 2013 |
| Authorized official | Russell Widder, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | PC-0000004 (DE) |
| Social Worker, Clinical | 1041C0700X | Q1-0000249 (DE) |
| Social Worker, Clinical | 1041C0700X | Q1-0000503 (DE) |
| Social Worker, Clinical | 1041C0700X | Q1-0000831 (DE) |
| Social Worker, Clinical primary | 1041C0700X | Q1-0000180 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.