Delmarva Family Counseling Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

06132 Issued in MD

Legal business name

DELMARVA FAMILY COUNSELING CENTER

Practice address

929 Eastern Shore Dr
Salisbury, MD 21804-6461

Phone

(443) 944-0401

NPI assigned

Jan 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jacquelynn C. Luck, LCSWC

Title

Therpist

Phone

(443) 944-0401

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1346396439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046461",
            "telephone_number": "443-944-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046461",
            "telephone_number": "443-944-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "LUCK",
        "authorized_official_first_name": "JACQUELYNN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "THERPIST",
        "authorized_official_telephone_number": "443-944-0401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSWC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "06132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Salisbury, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.