Provider Demographics
NPI:1841039013
Name:DELGADO, JENNESIE (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:JENNESIE
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:JENNESIE
Other - Middle Name:
Other - Last Name:CRONIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:52 E PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3568
Mailing Address - Country:US
Mailing Address - Phone:347-227-2940
Mailing Address - Fax:
Practice Address - Street 1:52 E PARK AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3568
Practice Address - Country:US
Practice Address - Phone:347-227-2940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014713101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health