Provider Demographics
NPI:1427251156
Name:LANKFORD, CHA-TANYA L (LCSW)
Entity type:Individual
Prefix:MS
First Name:CHA-TANYA
Middle Name:L
Last Name:LANKFORD
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 1:46 RIVERSIDE RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-5725
Mailing Address - Country:US
Mailing Address - Phone:302-736-6762
Mailing Address - Fax:
Practice Address - Street 1:870 FOREST ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3418
Practice Address - Country:US
Practice Address - Phone:302-677-1590
Practice Address - Fax:302-677-1591
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00008471041C0700X
DCLC500780151041C0700X
MDG100631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical