Provider Demographics
NPI:1386714186
Name:TOLPIN, GAIL D (LCSW)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:D
Last Name:TOLPIN
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 1:1309 OBERLIN RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-5109
Mailing Address - Country:US
Mailing Address - Phone:302-463-0381
Mailing Address - Fax:302-478-9123
Practice Address - Street 1:3411 SILVERSIDE RD
Practice Address - Street 2:WELDIN BUILDING, SUITE 105
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4812
Practice Address - Country:US
Practice Address - Phone:302-463-0381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0004641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000024679Medicaid
DE112095OtherUNITED BEHAVIORAL HEALTH
DE950522Medicare ID - Type Unspecified