Provider Demographics
NPI:1194724781
Name:DELENA, MERYL LYN (LCSW)
Entity type:Individual
Prefix:MISS
First Name:MERYL
Middle Name:LYN
Last Name:DELENA
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 AL HENDERSON BLVD
Mailing Address - Street 2:# 3002
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-6034
Mailing Address - Country:US
Mailing Address - Phone:912-921-0947
Mailing Address - Fax:
Practice Address - Street 1:2801 NE 213TH ST STE 1215
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1267
Practice Address - Country:US
Practice Address - Phone:833-769-3524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA34911041C0700X
FLSW60521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical