Provider Demographics
NPI:1699258582
Name:MEADOWS, DELIA CONTRERAS (LCSW-C, ICSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:DELIA
Middle Name:CONTRERAS
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:LCSW-C, ICSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2326 SPRINGDALE LN
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-3249
Mailing Address - Country:US
Mailing Address - Phone:301-643-6925
Mailing Address - Fax:
Practice Address - Street 1:2326 SPRINGDALE LN
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-3249
Practice Address - Country:US
Practice Address - Phone:301-643-6925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3034291041C0700X
MO0002101041C0700X
MD107881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical