Provider Demographics
NPI:1407661150
Name:DELGADO, GERALDINE AMY (LMSW)
Entity type:Individual
Prefix:MISS
First Name:GERALDINE
Middle Name:AMY
Last Name:DELGADO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 ROSLYN RD
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-2906
Mailing Address - Country:US
Mailing Address - Phone:516-974-8586
Mailing Address - Fax:
Practice Address - Street 1:1010 NORTHERN BLVD STE 311
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5329
Practice Address - Country:US
Practice Address - Phone:516-788-8901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115157-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker