MEDICARE: MS. ROSEMARIE ANNE DELIA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	004831	CT
2	1041C0700X	Clinical Social Worker	055001	NY

General Provider Information

NPI Number	:	1255416442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARIE ANNE DELIA LCSW

Provider Business Mailing Address
First Line	:	1880 PALMER AVENUE
Second Line	:
City	:	LARCHMONT
State	:	NY
Zip	:	10538-3064
Country	:	US
Telephone Number	:	914-833-3465
Fax Number	:

Provider Business Practice Location Address
First Line	:	666 GLENBROOK RD
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06906-1439
Country	:	US
Telephone Number	:	203-606-4833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	07/08/2007

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