Annie Paul

Individual provider Active NPI Clinical Social Worker · Christiana, DE

NPI 1578160495 · NPPES record last updated Oct 4, 2020

Key facts

NPI
1578160495
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
Q1-0001129 (DE)
Practice address
49 Savoy Rd
Christiana, DE 19702-8615
Phone
(302) 584-8764
NPI assigned
Oct 4, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
Q1-0001129DEMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001129 DE Yes

Addresses

Primary practice location

49 Savoy Rd
Christiana, DE 19702-8615

Mailing address

49 Savoy Rd
Christiana, DE 19702-8615
Phone (302) 738-0892

Other providers in Christiana, DE

All providers in Christiana, DE · Clinical Social Worker in Delaware

Sources for this page

Verify at the official NPI Registry.