Provider Demographics
NPI:1215431028
Name:DELANCY, TEANDRA GELEMER (MSW, MPPA)
Entity type:Individual
Prefix:
First Name:TEANDRA
Middle Name:GELEMER
Last Name:DELANCY
Suffix:
Gender:F
Credentials:MSW, MPPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7742 N ASHLAND AVE APT B2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-1189
Mailing Address - Country:US
Mailing Address - Phone:407-346-5900
Mailing Address - Fax:
Practice Address - Street 1:KENNETH YOUNG CENTER
Practice Address - Street 2:1585 WEST DEMPSTER ST
Practice Address - City:MT. PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056
Practice Address - Country:US
Practice Address - Phone:847-621-2040
Practice Address - Fax:847-258-3120
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker