Provider Demographics
NPI:1447431952
Name:MCGLOCKLIN, DELIA MARIA (LCSW, LCAC, CAADC)
Entity type:Individual
Prefix:MRS
First Name:DELIA
Middle Name:MARIA
Last Name:MCGLOCKLIN
Suffix:
Gender:F
Credentials:LCSW, LCAC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 MOONLIGHT BAY DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-2828
Mailing Address - Country:US
Mailing Address - Phone:850-328-3132
Mailing Address - Fax:
Practice Address - Street 1:296 MOONLIGHT BAY DR
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-2828
Practice Address - Country:US
Practice Address - Phone:850-328-3132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87000250A101YA0400X
IN34005922A1041C0700X
FLSW247181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)