Healthcare Provider Details

I. General information

NPI: 1497671994
Provider Name (Legal Business Name): DE LATRON SOCIAL WORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 SW 22ND AVE APT 807
DELRAY BEACH FL
33445-7816
US

IV. Provider business mailing address

2960 SW 22ND AVE APT 807
DELRAY BEACH FL
33445-7816
US

V. Phone/Fax

Practice location:
  • Phone: 561-413-4815
  • Fax:
Mailing address:
  • Phone: 561-413-4815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. DENISE D BARNES
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 561-413-4815