Provider Demographics
NPI:1063290005
Name:DELGADO, JANET HILLER (LSCSW)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:HILLER
Last Name:DELGADO
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 FIRETREE AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66006-4173
Mailing Address - Country:US
Mailing Address - Phone:785-764-0965
Mailing Address - Fax:
Practice Address - Street 1:1023 FIRETREE AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN CITY
Practice Address - State:KS
Practice Address - Zip Code:66006-4173
Practice Address - Country:US
Practice Address - Phone:785-764-0965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty