National Provider Identifier

Ellen Delara

Ellen Delara is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 351-6364.

NPI 1568586568Ithaca, NYClinical Social Worker

Profile Overview

NPI
1568586568
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 17, 2007
Last Updated
July 08, 2007

Practice Location

  • 215 N Tioga St
  • Ithaca, NY 14850-4357

Phone: (607) 351-6364

Mailing Address

  • 4 Winthrop Pl
  • Ithaca, NY 14850-1741

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1568586568
Entity Type
Individual
Last Name
Delara
First Name
Ellen
Name Prefix
Dr.
Mailing Street Address
4 Winthrop Pl
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1741
Mailing Country
US
Practice Street Address
215 N Tioga St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4357
Practice Country
US
Practice Phone
(607) 351-6364
Enumeration Date
March 17, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)