MEDICARE: MS. REBECCA B DELANEY 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	LCSW2247	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	84533	OTHER	TN	BCBS
3	6220013	OTHER	TN	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1528046109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA B DELANEY LCSW

Provider Business Mailing Address
First Line	:	PO BOX 682749
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-2749
Country	:	US
Telephone Number	:	615-807-4020
Fax Number	:	615-807-4022

Provider Business Practice Location Address
First Line	:	2014 QUAIL HOLLOW CIR
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-5967
Country	:	US
Telephone Number	:	615-807-4020
Fax Number	:	615-807-4022

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

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	01/27/2009

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