Healthcare Provider Details

I. General information

NPI: 1558292227
Provider Name (Legal Business Name): JESSICA DELGADO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 UNIVERSITY BLVD UNIT 21
AMES IA
50010-8629
US

IV. Provider business mailing address

30874 K18S
SIOUX CITY IA
51109-9010
US

V. Phone/Fax

Practice location:
  • Phone: 515-598-3300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number136328
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: