Healthcare Provider Details

I. General information

NPI: 1821847237
Provider Name (Legal Business Name): D'VAUGHN W DELPIT LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2024
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 ELLIOTT RANCH RD
BUDA TX
78610-9334
US

IV. Provider business mailing address

12506 ZENYATTA DR
BUDA TX
78610-4211
US

V. Phone/Fax

Practice location:
  • Phone: 300-933-0833
  • Fax:
Mailing address:
  • Phone: 210-803-4031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number112383
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: