MEDICARE: MS. NANCY B DELEON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW2653	FL

General Provider Information

NPI Number	:	1174676373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY B DELEON LCSW

Provider Business Mailing Address
First Line	:	537 US HIGHWAY 1
Second Line	:	SUITE 2
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4903
Country	:	US
Telephone Number	:	561-848-9344
Fax Number	:	561-848-4855

Provider Business Practice Location Address
First Line	:	537 US HIGHWAY 1
Second Line	:	SUITE 2
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4903
Country	:	US
Telephone Number	:	561-848-9344
Fax Number	:	561-848-4855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	07/08/2007

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