Healthcare Provider Details

I. General information

NPI: 1386040392
Provider Name (Legal Business Name): WALTER HOMSEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2014
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 SNUFF MILL LN
HOCKESSIN DE
19707-9643
US

IV. Provider business mailing address

432 SNUFF MILL LN
HOCKESSIN DE
19707-9643
US

V. Phone/Fax

Practice location:
  • Phone: 302-353-8830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0001584
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: