Provider Demographics
NPI:1821847237
Name:DELPIT, D'VAUGHN W (LMSW)
Entity type:Individual
Prefix:MR
First Name:D'VAUGHN
Middle Name:W
Last Name:DELPIT
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12506 ZENYATTA DR
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-4211
Mailing Address - Country:US
Mailing Address - Phone:210-803-4031
Mailing Address - Fax:
Practice Address - Street 1:815 ELLIOTT RANCH RD
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-9334
Practice Address - Country:US
Practice Address - Phone:300-933-0833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112383104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker