Healthcare Provider Details

I. General information

NPI: 1780526012
Provider Name (Legal Business Name): FOOD BANK OF DELAWARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 LAKE DR
NEWARK DE
19702-3319
US

IV. Provider business mailing address

222 LAKE DR
NEWARK DE
19702-3319
US

V. Phone/Fax

Practice location:
  • Phone: 302-444-8125
  • Fax:
Mailing address:
  • Phone: 302-444-8125
  • Fax: 302-444-8125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225CX0006X
TaxonomyOrientation and Mobility Training Rehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANNA MCDERMOTT
Title or Position: CHIEF IMPACT OFFICER
Credential:
Phone: 302-444-8125