Provider Demographics
NPI:1861780413
Name:DELANEY, CARRIE JANE (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:JANE
Last Name:DELANEY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MRS
Other - First Name:CARRIE
Other - Middle Name:JANE
Other - Last Name:DELANEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:3050 ARRAN QUAY TER
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-8294
Mailing Address - Country:US
Mailing Address - Phone:219-688-9265
Mailing Address - Fax:
Practice Address - Street 1:3102 CASCADE DR
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-9138
Practice Address - Country:US
Practice Address - Phone:219-688-9265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34004899A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical