OrganizationActive
Life Span Development Center
NPI 1902356025 · Clinical Social Worker · Newark, DE
Provider details
- NPI number
- 1902356025
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lamonte Wilson, Owner/Clinician(302) 399-5773
- License
- Q1-0000548 (DE)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
260 Chapman Rd
Suite 200-1
Newark, DE 19702-5490
Phone: (302) 399-5773
Fax: (302) 832-9795
Street-level locationGet directions
Mailing address
260 Chapman Rd
Newark, DE 19702-5490
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2017-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.