Provider Demographics
NPI:1063603199
Name:LATHBURY, APRIL D (LCSW)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:D
Last Name:LATHBURY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 N RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-1242
Mailing Address - Country:US
Mailing Address - Phone:302-856-1734
Mailing Address - Fax:302-856-9466
Practice Address - Street 1:6 N RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-1242
Practice Address - Country:US
Practice Address - Phone:302-856-1734
Practice Address - Fax:302-856-9466
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ10000857101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE37761OtherCIGNA
DE0602528OtherAETNA
DE159139OtherBLUE CROSS BLUE SHIELD DE
DE174428OtherCOMPSYCH
DEA066181OtherVALUE OPTIONS