DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DELANEY ANTOINE JOHNSON ACSW 113676

MEDICARE: DELANEY ANTOINE JOHNSON ACSW 113676
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
1104100000XSocial Worker113676CA
2104100000XSocial Worker
3101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1780340687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELANEY ANTOINE JOHNSON ACSW 113676
Provider Business Mailing Address
First Line : 2049 SKYLINE DR
Second Line :
City : LEMON GROVE
State : CA
Zip : 91945-4221
Country : US
Telephone Number : 619-442-0277
Fax Number :
Provider Business Practice Location Address
First Line : 2049 SKYLINE DR
Second Line :
City : LEMON GROVE
State : CA
Zip : 91945-4221
Country : US
Telephone Number : 619-442-0277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2021
Last Update Date : 05/05/2026

Similar Medicare Providers

1265550933 — JAMES CORLEY BS
Practice Location Address:
2049 SKYLINE DR
LEMON GROVE, CA
91945-4221
Practice Phone: 619-469-4325
Practice Fax:
1508073933 — ESTHER MONTEZ CAADAC
Practice Location Address:
2049 SKYLINE DR
LEMON GROVE, CA
91945-4221
Practice Phone: 619-465-7303
Practice Fax: 619-466-4672
1003024324 — STEVEN FREMLAND
Practice Location Address:
2049 SKYLINE DR
LEMON GROVE, CA
91945-4221
Practice Phone: 619-465-7303
Practice Fax:
1366650673 — BRIAN MOORE
Practice Location Address:
2049 SKYLINE DR
LEMON GROVE, CA
91945-4221
Practice Phone: 619-465-0733
Practice Fax:
1790993012 — THOMAS ROSHA SMITH
Practice Location Address:
2049 SKYLINE DR
LEMON GROVE, CA
91945-4221
Practice Phone: 619-465-7303
Practice Fax:
1952519274 — GERARDO SOLIVEN
Practice Location Address:
2049 SKYLINE DR
LEMON GROVE, CA
91945-4221
Practice Phone: 619-465-7303
Practice Fax:

Directions to “ DELANEY ANTOINE JOHNSON ACSW 113676” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.