Healthcare Provider Details

I. General information

NPI: 1326500653
Provider Name (Legal Business Name): LIGIA EMILIA DELORME LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 W 1ST ST STE 1
WIND GAP PA
18091-1515
US

IV. Provider business mailing address

150 HAWK TER
SAYLORSBURG PA
18353-8416
US

V. Phone/Fax

Practice location:
  • Phone: 484-619-5988
  • Fax:
Mailing address:
  • Phone: 570-619-8317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW024862
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: