Healthcare Provider Details

I. General information

NPI: 1790679264
Provider Name (Legal Business Name): OPTUM BEHAVIORAL CARE OF DELAWARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2025
Last Update Date: 06/07/2025
Certification Date: 06/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3521 SILVERSIDE RD STE 2D
WILMINGTON DE
19810-4900
US

IV. Provider business mailing address

1 OPTUM CIR
EDEN PRAIRIE MN
55344-2956
US

V. Phone/Fax

Practice location:
  • Phone: 302-268-6105
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: AMANDA STACEY BRONSON
Title or Position: VICE PRESIDENT
Credential:
Phone: 978-222-3121