| Optum Behavioral Care Of Delaware, Inc | |
|
3521 Silverside Rd Ste 2d Wilmington DE 19810-4900 | |
| (302) 268-6105 | |
| Not Available |
| Full Name | Optum Behavioral Care Of Delaware, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 3521 Silverside Rd Ste 2d, Wilmington, Delaware |
| Authorized Official Name and Position | Kerry Biscornet (SECRETARY) |
| Authorized Official Contact | 6038542929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of Delaware, Inc 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (603) 854-2929 | Optum Behavioral Care Of Delaware, Inc 3521 Silverside Rd Ste 2d Wilmington DE 19810-4900 Ph: (302) 268-6105 |
| NPI Number | 1326810086 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Medicare PECOS PAC ID | 4587017363 |
|---|---|
| Medicare Enrollment ID | O20240129001039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326810086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Claudia Van Lenten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508465766 PECOS PAC ID: 1759786742 Enrollment ID: I20210830002355 |
| Provider Name | Maggie L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619605011 PECOS PAC ID: 2769843267 Enrollment ID: I20230801000051 |
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