Healthcare Provider Details

I. General information

NPI: 1932080868
Provider Name (Legal Business Name): MORGAN DELEO, LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 W 51ST ST APT 4A
NEW YORK NY
10019-6468
US

IV. Provider business mailing address

302 W 51ST ST APT 4A
NEW YORK NY
10019-6468
US

V. Phone/Fax

Practice location:
  • Phone: 917-994-0580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MORGAN DELEO
Title or Position: MANAGER
Credential: LCSW
Phone: 410-294-5226